Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.33 / $247.33 / $878.00	Facility		$247.33	$247.33	$878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.33 / $247.33 / $291.79	Professional		$247.33	$247.33	$291.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.25 / $355.57 / $571.51	Facility		$303.25	$355.57	$571.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $146.31 / $416.55	Professional		$124.36	$146.31	$416.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.56 / $366.56 / $433.21	Facility		$366.56	$366.56	$433.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.90 / $349.90 / $349.90	Professional		$349.90	$349.90	$349.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $238.51	Professional		$153.00	$153.00	$238.51
United Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $250.44 / $425.75	Professional		$110.83	$250.44	$425.75