Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $255.61 / $255.61	Facility		$255.61	$255.61	$255.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $255.61 / $463.50	Professional		$252.82	$255.61	$463.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.16 / $598.35 / $957.36	Facility		$434.16	$598.35	$957.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $308.08 / $789.82	Professional		$265.45	$308.08	$789.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $507.91 / $530.12	Professional		$493.30	$507.91	$530.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $358.08 / $507.91	Facility		$40.69	$358.08	$507.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $323.80 / $627.38	Professional		$38.11	$323.80	$627.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $557.69	Facility		$333.25	$333.25	$557.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $555.00	Professional		$283.26	$333.25	$555.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $335.76	Facility		$333.25	$333.25	$335.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Professional		$333.25	$333.25	$333.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $421.34 / $607.61	Professional		$337.07	$421.34	$607.61
United Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $244.45 / $376.07	Professional		$159.24	$244.45	$376.07