Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.05 / $358.05 / $358.05	Facility		$358.05	$358.05	$358.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $358.05 / $486.78	Professional		$348.06	$358.05	$486.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $412.80 / $814.93	Professional		$199.89	$412.80	$814.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $68.30 / $534.10	Facility		$51.23	$68.30	$534.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $70.40 / $604.29	Professional		$46.94	$70.40	$604.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $749.18	Facility		$450.88	$450.88	$749.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $450.88 / $798.75	Professional		$383.25	$450.88	$798.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $493.02	Facility		$450.88	$450.88	$493.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $450.88 / $450.88	Professional		$383.25	$450.88	$450.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $402.85 / $559.52	Professional		$268.57	$402.85	$559.52
United Facility/Professional Facility Modifier Low / Median / High Price $30.62 / $235.45 / $502.88	Facility		$30.62	$235.45	$502.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $334.68 / $478.89	Professional		$218.44	$334.68	$478.89