Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.51 / $378.51 / $2,302.00	Facility		$378.51	$378.51	$2,302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.78 / $378.51 / $570.72	Professional		$372.78	$378.51	$570.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.75 / $431.20 / $860.37	Professional		$392.75	$431.20	$860.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $70.88 / $701.16	Facility		$51.94	$70.88	$701.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $65.20 / $621.00	Professional		$46.07	$65.20	$621.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $740.80	Facility		$150.00	$150.00	$740.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $832.50	Professional		$127.50	$127.50	$832.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $472.86	Facility		$150.00	$150.00	$472.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $150.00	Professional		$127.50	$150.00	$150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $75.90 / $506.00	Professional		$34.50	$75.90	$506.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $289.20 / $442.31	Professional		$169.10	$289.20	$442.31