Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.24 / $270.24 / $270.24	Facility		$270.24	$270.24	$270.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $270.24 / $416.92	Professional		$264.33	$270.24	$416.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.35 / $628.92 / $1,006.28	Facility		$456.35	$628.92	$1,006.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $283.30 / $654.08	Professional		$216.06	$283.30	$654.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $377.35 / $566.03	Facility		$46.33	$377.35	$566.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $364.23 / $621.46	Professional		$43.76	$364.23	$621.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $693.67	Facility		$292.50	$292.50	$693.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $661.50	Professional		$248.63	$292.50	$661.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $292.50 / $334.69	Professional		$292.50	$292.50	$334.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.78 / $359.73 / $518.76	Professional		$287.78	$359.73	$518.76
United Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $248.78 / $377.73	Professional		$167.34	$248.78	$377.73