Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.22 / $372.22 / $1,231.00	Facility		$372.22	$372.22	$1,231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.75 / $372.22 / $426.43	Professional		$325.75	$372.22	$426.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.73 / $762.30 / $1,975.05	Facility		$650.73	$762.30	$1,975.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $392.47 / $946.63	Professional		$325.43	$392.47	$946.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $693.00 / $935.55	Facility		$519.75	$693.00	$935.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $627.10 / $1,483.85	Professional		$452.91	$627.10	$1,483.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $816.54	Facility		$437.50	$437.50	$816.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $558.91	Professional		$319.38	$319.38	$558.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $437.50	Professional		$319.38	$437.50	$437.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $456.50 / $598.47	Professional		$332.00	$456.50	$598.47
United Facility/Professional Professional Modifier Low / Median / High Price $230.49 / $334.59 / $484.53	Professional		$230.49	$334.59	$484.53