Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $409.48 / $858.66	Facility		$224.64	$409.48	$858.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $228.02 / $285.02	Professional		$228.02	$228.02	$285.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $313.52 / $504.42	Facility		$251.68	$313.52	$504.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $114.01 / $240.80	Professional		$83.92	$114.01	$240.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $285.02 / $384.79	Facility		$160.68	$285.02	$384.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $370.54 / $384.79	Professional		$242.28	$370.54	$384.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.36 / $293.27 / $972.67	Facility		$140.36	$293.27	$972.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $130.72 / $374.87	Professional		$55.19	$130.72	$374.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.36 / $293.47 / $1,102.53	Facility		$140.36	$293.47	$1,102.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $130.44 / $185.27	Professional		$54.50	$130.44	$185.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $235.14 / $342.03	Professional		$213.77	$235.14	$342.03
United Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $142.52 / $376.44	Professional		$59.79	$142.52	$376.44