Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.09 / $589.72 / $1,074.76	Facility		$233.09	$589.72	$1,074.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $233.09 / $420.61	Professional		$203.75	$233.09	$420.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $314.67 / $515.62	Facility		$257.27	$314.67	$515.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $139.84 / $378.76	Professional		$111.79	$139.84	$378.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $335.06 / $437.04	Facility		$291.36	$335.06	$437.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $378.77 / $637.20	Professional		$291.36	$378.77	$637.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $388.05 / $1,662.76	Facility		$299.79	$388.05	$1,662.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $164.45 / $633.76	Professional		$133.24	$164.45	$633.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $388.05 / $1,662.76	Facility		$299.79	$388.05	$1,662.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $156.81 / $633.76	Professional		$133.24	$156.81	$633.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $262.22 / $360.55	Professional		$229.44	$262.22	$360.55
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $424.51	Professional		$122.37	$174.82	$424.51