Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $610.20 / $999.69	Facility		$293.42	$610.20	$999.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $259.66 / $698.77	Professional		$194.75	$259.66	$698.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.60 / $350.55 / $574.41	Facility		$286.60	$350.55	$574.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $158.38 / $485.32	Professional		$129.83	$158.38	$485.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $204.49 / $204.49 / $204.49	Facility		$204.49	$204.49	$204.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $405.73 / $486.87	Facility		$324.58	$405.73	$486.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $438.18 / $778.99	Professional		$421.95	$438.18	$778.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.98 / $369.22 / $1,852.40	Facility		$333.98	$369.22	$1,852.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $241.26 / $628.89	Professional		$148.24	$241.26	$628.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $333.98 / $369.22 / $1,852.40	Facility		$333.98	$369.22	$1,852.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $241.26 / $628.89	Professional		$148.24	$241.26	$628.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $292.12 / $401.67	Professional		$255.61	$292.12	$401.67
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $428.67	Professional		$136.32	$194.75	$428.67