Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $894.28 / $1,321.98	Facility		$432.02	$894.28	$1,321.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $444.98 / $1,010.92	Professional		$432.02	$444.98	$1,010.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.58 / $754.52 / $1,239.90	Facility		$466.58	$754.52	$1,239.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $728.38	Professional		$432.02	$432.02	$728.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $432.02 / $734.43	Facility		$432.02	$432.02	$734.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $583.23	Professional		$432.02	$432.02	$583.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $730.01	Professional		$432.02	$432.02	$730.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $730.01	Professional		$432.02	$432.02	$730.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $480.16 / $561.62 / $632.93	Professional		$480.16	$561.62	$632.93
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $562.49	Professional		$432.02	$432.02	$562.49