Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.62 / $568.62 / $1,282.00	Facility		$568.62	$568.62	$1,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.62 / $568.62 / $844.32	Professional		$568.62	$568.62	$844.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.27 / $822.26 / $1,321.63	Facility		$701.27	$822.26	$1,321.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $805.76 / $1,597.52	Professional		$644.61	$805.76	$1,597.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $554.40 / $916.65	Facility		$70.98	$554.40	$916.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $626.72 / $1,058.94	Professional		$70.66	$626.72	$1,058.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $293.45 / $985.14	Professional		$127.22	$293.45	$985.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $112.03 / $950.60	Professional		$67.90	$112.03	$950.60
United Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $1,005.06 / $1,641.90	Professional		$311.39	$1,005.06	$1,641.90