Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.19 / $254.19 / $254.19	Facility		$254.19	$254.19	$254.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.99 / $254.19 / $461.99	Professional		$251.99	$254.19	$461.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.77 / $595.04 / $952.08	Facility		$431.77	$595.04	$952.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $308.89 / $776.53	Professional		$266.26	$308.89	$776.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $509.48 / $529.69	Professional		$492.75	$509.48	$529.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $357.03 / $510.29	Facility		$43.28	$357.03	$510.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $331.16 / $629.32	Professional		$40.47	$331.16	$629.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $554.60	Facility		$331.53	$331.53	$554.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $552.00	Professional		$281.80	$331.53	$552.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $333.92	Facility		$331.53	$331.53	$333.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Professional		$331.53	$331.53	$331.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.09 / $422.62 / $609.46	Professional		$338.09	$422.62	$609.46
United Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $240.49 / $377.20	Professional		$158.72	$240.49	$377.20