Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $645.42 / $938.13	Facility		$300.20	$645.42	$938.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $300.20 / $541.71	Professional		$262.68	$300.20	$541.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.35 / $405.27 / $664.08	Facility		$331.35	$405.27	$664.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $183.12 / $561.08	Professional		$150.10	$183.12	$561.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $469.06 / $562.88	Facility		$375.25	$469.06	$562.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.83 / $506.59 / $900.60	Professional		$487.83	$506.59	$900.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.11 / $426.84 / $2,141.53	Facility		$386.11	$426.84	$2,141.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $278.70 / $726.77	Professional		$171.24	$278.70	$726.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $386.11 / $426.84 / $2,141.53	Facility		$386.11	$426.84	$2,141.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $278.70 / $726.77	Professional		$171.24	$278.70	$726.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.51 / $337.72 / $464.37	Professional		$295.51	$337.72	$464.37
United Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $450.30 / $450.30	Facility		$450.30	$450.30	$450.30
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $546.74	Professional		$157.61	$225.15	$546.74