Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.40 / $409.36 / $595.00	Facility		$190.40	$409.36	$595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $190.40 / $343.58	Professional		$112.90	$190.40	$343.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.15 / $257.04 / $421.19	Facility		$210.15	$257.04	$421.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $123.76 / $380.92	Professional		$95.20	$123.76	$380.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $309.39 / $392.70	Facility		$238.00	$309.39	$392.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $321.30 / $571.20	Professional		$309.39	$321.30	$571.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.73 / $267.35 / $1,358.27	Facility		$214.73	$267.35	$1,358.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $128.00 / $461.27	Professional		$74.56	$128.00	$461.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.73 / $267.35 / $1,358.27	Facility		$214.73	$267.35	$1,358.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $128.00 / $461.27	Professional		$74.56	$128.00	$461.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $214.20 / $294.52	Professional		$187.42	$214.20	$294.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $142.80 / $314.33	Professional		$67.91	$142.80	$314.33