Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.77 / $533.77 / $1,659.00	Facility		$533.77	$533.77	$1,659.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.60 / $533.77 / $690.50	Professional		$478.60	$533.77	$690.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.16 / $1,093.16 / $2,832.27	Facility		$933.16	$1,093.16	$2,832.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $581.76 / $1,311.78	Professional		$484.80	$581.76	$1,311.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $745.34 / $993.78 / $1,341.60	Facility		$745.34	$993.78	$1,341.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.34 / $993.78 / $2,127.88	Professional		$682.34	$993.78	$2,127.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $1,301.65	Facility		$620.97	$620.97	$1,301.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $793.29	Professional		$453.31	$453.31	$793.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $620.97	Facility		$620.97	$620.97	$620.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $620.97	Professional		$453.31	$620.97	$620.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $421.57 / $579.66 / $759.94	Professional		$421.57	$579.66	$759.94
United Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $495.79 / $746.09	Professional		$330.52	$495.79	$746.09