Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $479.84 / $862.40	Facility		$224.00	$479.84	$862.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $224.00 / $404.21	Professional		$90.00	$224.00	$404.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $302.39 / $495.52	Facility		$247.24	$302.39	$495.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $145.60 / $475.00	Professional		$112.00	$145.60	$475.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $364.00 / $462.00	Facility		$280.00	$364.00	$462.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $378.00 / $672.00	Professional		$364.00	$378.00	$672.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $288.29 / $1,597.96	Facility		$217.13	$288.29	$1,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $245.33 / $609.45	Professional		$128.13	$245.33	$609.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $288.29 / $1,597.96	Facility		$217.13	$288.29	$1,597.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $251.86 / $609.45	Professional		$128.13	$251.86	$609.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $252.00 / $346.50	Professional		$220.50	$252.00	$346.50
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $369.80	Professional		$117.60	$168.00	$369.80