Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.32 / $1,161.69 / $1,688.50	Facility		$540.32	$1,161.69	$1,688.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $574.09 / $975.01	Professional		$451.23	$574.09	$975.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.38 / $729.43 / $1,195.26	Facility		$596.38	$729.43	$1,195.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $351.20 / $1,080.98	Professional		$270.16	$351.20	$1,080.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $776.71 / $1,013.10	Facility		$675.40	$776.71	$1,013.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $878.02 / $1,476.67	Professional		$675.40	$878.02	$1,476.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.95 / $768.27 / $3,854.51	Facility		$694.95	$768.27	$3,854.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.24 / $364.21 / $1,469.89	Professional		$298.24	$364.21	$1,469.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.95 / $851.68 / $3,854.51	Facility		$694.95	$851.68	$3,854.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $298.24 / $363.40 / $1,469.89	Professional		$298.24	$363.40	$1,469.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $531.87 / $607.86 / $835.80	Professional		$531.87	$607.86	$835.80
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $405.24 / $984.06	Professional		$271.42	$405.24	$984.06