Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.80 / $569.32 / $827.50	Facility		$264.80	$569.32	$827.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $264.80 / $477.83	Professional		$180.89	$264.80	$477.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $357.48 / $585.77	Facility		$292.27	$357.48	$585.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $151.88 / $429.63	Professional		$112.54	$151.88	$429.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $430.30 / $546.15	Facility		$331.00	$430.30	$546.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $446.85 / $794.40	Professional		$430.30	$446.85	$794.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.58 / $376.51 / $1,889.02	Facility		$340.58	$376.51	$1,889.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $178.15 / $711.93	Professional		$119.53	$178.15	$711.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $340.58 / $376.51 / $1,889.02	Facility		$340.58	$376.51	$1,889.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $178.15 / $711.93	Professional		$119.53	$178.15	$711.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.66 / $297.89 / $409.61	Professional		$260.66	$297.89	$409.61
United Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $119.16 / $297.89	Facility		$119.16	$119.16	$297.89
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $198.60 / $433.61	Professional		$108.81	$198.60	$433.61