Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $348.43 / $955.30	Facility		$181.65	$348.43	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $181.65 / $414.00	Professional		$175.07	$181.65	$414.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $187.84 / $300.07	Professional		$154.13	$187.84	$300.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $145.34 / $259.11	Facility		$32.60	$145.34	$259.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $156.74 / $191.90	Professional		$35.15	$156.74	$191.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.73 / $1,218.89 / $1,325.32	Facility		$465.73	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $255.10 / $469.98	Professional		$174.45	$255.10	$469.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $465.73 / $1,218.89 / $1,325.32	Facility		$465.73	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $245.23 / $459.66	Professional		$183.01	$245.23	$459.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $196.41 / $287.40	Professional		$41.71	$196.41	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $218.70 / $415.53	Professional		$143.53	$218.70	$415.53