Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.28 / $511.28 / $511.28	Facility		$511.28	$511.28	$511.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $514.91 / $787.36	Professional		$511.28	$514.91	$787.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $408.80 / $945.25	Professional		$408.78	$408.80	$945.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $95.18 / $918.78	Facility		$68.91	$95.18	$918.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $95.18 / $918.78	Professional		$61.87	$95.18	$918.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.55 / $687.90 / $1,058.43	Facility		$265.55	$687.90	$1,058.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.72 / $687.90 / $1,188.75	Professional		$584.72	$687.90	$1,188.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $265.55 / $687.90 / $687.90	Facility		$265.55	$687.90	$687.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $584.72 / $687.90 / $687.90	Professional		$584.72	$687.90	$687.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $108.89 / $748.63	Professional		$51.04	$108.89	$748.63
United Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $431.33 / $626.58	Professional		$287.56	$431.33	$626.58