Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $493.20 / $756.84	Facility		$227.28	$493.20	$756.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $290.69	Professional		$227.28	$227.28	$290.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.46 / $389.79 / $647.75	Facility		$245.46	$389.79	$647.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $254.55 / $379.62	Professional		$227.28	$254.55	$379.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $538.65 / $538.65 / $538.65	Facility		$538.65	$538.65	$538.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $341.81	Facility		$227.28	$227.28	$341.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $306.83	Professional		$227.28	$227.28	$306.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $244.09	Facility		$214.41	$227.28	$244.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $291.48	Professional		$227.28	$227.28	$291.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $322.69	Facility		$214.41	$227.28	$322.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $321.62	Professional		$227.28	$227.28	$321.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $261.16 / $321.47	Professional		$227.10	$261.16	$321.47
United Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $270.49	Facility		$227.28	$227.28	$270.49
United Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.28 / $278.31	Professional		$227.10	$227.28	$278.31