Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.85 / $347.85 / $848.00	Facility		$347.85	$347.85	$848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $347.85 / $403.15	Professional		$260.98	$347.85	$403.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.12 / $712.39 / $1,845.75	Facility		$608.12	$712.39	$1,845.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.92 / $315.92 / $841.91	Professional		$303.92	$315.92	$841.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $550.49 / $550.49 / $550.49	Professional		$550.49	$550.49	$550.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $647.63 / $874.30	Facility		$420.96	$647.63	$874.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.96 / $582.87 / $1,386.71	Professional		$420.96	$582.87	$1,386.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $686.08	Facility		$324.30	$324.30	$686.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $538.48	Professional		$236.74	$236.74	$538.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $324.30 / $324.30	Professional		$236.74	$324.30	$324.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.72 / $377.74 / $495.21	Professional		$274.72	$377.74	$495.21
United Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $292.01 / $411.09	Professional		$195.02	$292.01	$411.09