Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $848.62 / $1,302.26	Facility		$391.07	$848.62	$1,302.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.90 / $391.07 / $486.00	Professional		$386.90	$391.07	$486.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.36 / $670.69 / $1,114.55	Facility		$422.36	$670.69	$1,114.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $437.99 / $659.34	Professional		$391.07	$437.99	$659.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $587.83	Facility		$391.07	$391.07	$587.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $527.94	Professional		$391.07	$391.07	$527.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $376.31 / $391.07	Facility		$368.93	$376.31	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $470.77	Professional		$391.07	$391.07	$470.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $522.36 / $1,248.15	Facility		$362.75	$522.36	$1,248.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $553.40	Professional		$391.07	$391.07	$553.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $436.59 / $527.55	Professional		$383.07	$436.59	$527.55
United Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $391.07 / $461.46	Professional		$381.22	$391.07	$461.46