Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $428.01 / $810.00	Facility		$210.39	$428.01	$810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $210.39 / $379.65	Professional		$184.09	$210.39	$379.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.22 / $284.02 / $465.41	Facility		$232.22	$284.02	$465.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $127.29 / $364.76	Professional		$105.20	$127.29	$364.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $302.44 / $394.49	Facility		$262.99	$302.44	$394.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $341.89 / $574.97	Professional		$262.99	$341.89	$574.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $270.77 / $1,500.85	Facility		$234.70	$270.77	$1,500.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $201.38 / $509.55	Professional		$120.10	$201.38	$509.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.49 / $270.77 / $1,500.85	Facility		$134.49	$270.77	$1,500.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $147.27 / $509.55	Professional		$120.10	$147.27	$509.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $226.82 / $285.99	Professional		$60.00	$226.82	$285.99
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $383.18	Professional		$110.46	$157.79	$383.18