Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $795.00 / $1,170.84	Facility		$377.52	$795.00	$1,170.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $380.24 / $788.46	Professional		$377.51	$380.24	$788.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.72 / $659.34 / $1,083.48	Facility		$407.72	$659.34	$1,083.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $636.49	Professional		$377.52	$377.52	$636.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $641.78	Facility		$377.52	$377.52	$641.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $509.65	Professional		$377.52	$377.52	$509.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $356.15 / $377.52	Facility		$356.15	$356.15	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $574.80	Professional		$377.52	$377.52	$574.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $369.97 / $377.52	Facility		$356.15	$369.97	$377.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $574.80	Professional		$377.52	$377.52	$574.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $471.90 / $545.89	Professional		$414.12	$471.90	$545.89
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $420.26 / $530.41	Professional		$377.52	$420.26	$530.41