Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $507.78 / $779.22	Facility		$393.00	$507.78	$779.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $194.22 / $585.00	Professional		$187.20	$194.22	$585.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $310.05 / $516.75	Facility		$0.03	$310.05	$516.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $206.70 / $331.13	Professional		$195.00	$206.70	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.05 / $279.05 / $474.39	Facility		$279.05	$279.05	$474.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $279.05	Professional		$206.70	$206.70	$279.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $312.94	Professional		$206.70	$206.70	$312.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $312.94	Professional		$206.70	$206.70	$312.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $258.37 / $299.71	Professional		$227.37	$258.37	$299.71
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $250.61	Professional		$234.00	$234.00	$250.61