Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.67 / $269.67 / $269.67	Facility		$269.67	$269.67	$269.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $269.67 / $384.43	Professional		$267.83	$269.67	$384.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $370.90 / $610.13	Professional		$370.86	$370.90	$610.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $54.86 / $510.30	Facility		$41.82	$54.86	$510.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $54.86 / $510.30	Professional		$37.88	$54.86	$510.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $541.24	Facility		$238.50	$238.50	$541.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $642.00	Professional		$202.73	$238.50	$642.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $715.15	Facility		$235.00	$238.50	$715.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $238.50 / $238.50	Professional		$235.00	$238.50	$238.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $378.00 / $525.00	Professional		$252.00	$378.00	$525.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $166.58 / $269.83	Facility		$25.31	$166.58	$269.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $184.62 / $269.45	Professional		$104.79	$184.62	$269.45