Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $774.54 / $1,092.21	Facility		$356.93	$774.54	$1,092.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $356.93 / $446.23	Professional		$352.10	$356.93	$446.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.48 / $612.13 / $1,017.25	Facility		$385.48	$612.13	$1,017.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $399.76 / $601.78	Professional		$356.93	$399.76	$601.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $536.29	Facility		$356.93	$356.93	$536.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $481.86	Professional		$356.93	$356.93	$481.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $344.32 / $356.93	Facility		$336.73	$344.32	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $438.05	Professional		$356.93	$356.93	$438.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $344.32 / $437.17	Facility		$336.73	$344.32	$437.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $505.09	Professional		$356.93	$356.93	$505.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $406.23 / $490.86	Professional		$348.62	$406.23	$490.86
United Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $356.93 / $410.47	Professional		$338.53	$356.93	$410.47