Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.64 / $470.33 / $916.00	Facility		$260.64	$470.33	$916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $260.64 / $878.35	Professional		$162.90	$260.64	$878.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $358.38 / $576.57	Facility		$287.68	$358.38	$576.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $130.32 / $274.68	Professional		$130.32	$130.32	$274.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $260.64 / $260.64	Professional		$260.64	$260.64	$260.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $342.09 / $439.83	Facility		$244.35	$342.09	$439.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $326.41 / $536.57	Professional		$211.77	$326.41	$536.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.02 / $335.44 / $1,111.79	Facility		$209.02	$335.44	$1,111.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $149.38 / $432.28	Professional		$73.48	$149.38	$432.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $209.02 / $335.44 / $1,020.08	Facility		$209.02	$335.44	$1,020.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $149.09 / $214.07	Professional		$73.48	$149.09	$214.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.35 / $268.78 / $390.96	Professional		$244.35	$268.78	$390.96
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $158.55 / $426.80	Professional		$66.59	$158.55	$426.80