Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $478.63	Professional		$269.15	$338.84	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $851.14	Facility		$562.34	$602.56	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $870.96	Professional		$407.38	$426.58	$870.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $660.69	Professional		$616.60	$616.60	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $302.00 / $501.19	Facility		$33.11	$302.00	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $346.74 / $537.03	Professional		$42.66	$346.74	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $562.34	Professional		$302.00	$302.00	$562.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $562.34	Facility		$354.81	$354.81	$562.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $467.74	Professional		$33.88	$42.66	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $758.58	Professional		$380.19	$478.63	$758.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,071.52	Professional		$537.03	$630.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $218.78 / $354.81	Facility		$27.54	$218.78	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $416.87	Professional		$190.55	$281.84	$416.87