Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.69 / $469.73 / $1,582.99	Facility		$327.69	$469.73	$1,582.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $469.73 / $782.13	Professional		$418.95	$469.73	$782.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.21 / $962.02 / $2,492.50	Facility		$821.21	$962.02	$2,492.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.64 / $492.70 / $1,136.92	Professional		$426.64	$492.70	$1,136.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.92 / $874.56 / $1,180.66	Facility		$655.92	$874.56	$1,180.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.67 / $817.87 / $1,872.61	Professional		$590.67	$817.87	$1,872.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $1,064.93	Facility		$510.00	$510.00	$1,064.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $516.29	Professional		$372.30	$372.30	$516.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $516.29	Facility		$510.00	$510.00	$516.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $516.29	Professional		$372.30	$510.00	$516.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $510.12 / $668.77	Professional		$371.00	$510.12	$668.77
United Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $418.10 / $608.87	Professional		$290.88	$418.10	$608.87