Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.28 / $671.28 / $671.28	Facility		$671.28	$671.28	$671.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.28 / $671.28 / $876.01	Professional		$632.28	$671.28	$876.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.60 / $536.64 / $1,241.00	Professional		$536.60	$536.64	$1,241.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.26 / $124.98 / $1,206.25	Facility		$90.26	$124.98	$1,206.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $124.98 / $1,206.25	Professional		$90.47	$124.98	$1,206.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $1,338.05	Facility		$344.45	$344.45	$1,338.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $344.45 / $1,642.50	Professional		$292.77	$344.45	$1,642.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $383.69	Facility		$344.45	$344.45	$383.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $344.45 / $344.45	Professional		$292.77	$344.45	$344.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $98.28 / $893.52	Professional		$67.01	$98.28	$893.52
United Facility/Professional Professional Modifier Low / Median / High Price $364.27 / $545.26 / $792.08	Professional		$364.27	$545.26	$792.08