Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.06 / $206.06 / $693.00	Facility		$206.06	$206.06	$693.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $206.06 / $219.09	Professional		$138.57	$206.06	$219.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.24 / $422.00 / $1,093.36	Facility		$360.24	$422.00	$1,093.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.49 / $187.15 / $498.73	Professional		$168.49	$187.15	$498.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.57 / $383.64 / $517.91	Facility		$244.57	$383.64	$517.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $345.28 / $821.45	Professional		$249.37	$345.28	$821.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $376.73	Facility		$225.30	$225.30	$376.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $287.82	Professional		$164.47	$164.47	$287.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $225.30	Professional		$164.47	$225.30	$225.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $223.77 / $293.36	Professional		$162.74	$223.77	$293.36
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $326.08 / $383.64	Facility		$326.08	$326.08	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $172.99 / $243.52	Professional		$108.01	$172.99	$243.52