Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.19 / $220.19 / $567.00	Facility		$220.19	$220.19	$567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $220.19 / $247.91	Professional		$155.83	$220.19	$247.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.95 / $450.96 / $1,168.39	Facility		$384.95	$450.96	$1,168.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $199.00 / $532.94	Professional		$189.47	$199.00	$532.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $409.96 / $553.45	Facility		$266.47	$409.96	$553.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $368.96 / $877.81	Professional		$266.47	$368.96	$877.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $417.89	Facility		$268.08	$268.08	$417.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $340.87	Professional		$195.70	$195.70	$340.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $268.08	Professional		$195.70	$268.08	$268.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $239.12 / $313.49	Professional		$173.91	$239.12	$313.49
United Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $198.14 / $260.23	Professional		$134.52	$198.14	$260.23