Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.78 / $396.78 / $1,283.00	Facility		$396.78	$396.78	$1,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $396.78 / $478.14	Professional		$273.93	$396.78	$478.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.67 / $812.60 / $2,105.38	Facility		$693.67	$812.60	$2,105.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $360.39 / $960.34	Professional		$333.08	$360.39	$960.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $480.17 / $738.73 / $997.29	Facility		$480.17	$738.73	$997.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.17 / $664.86 / $1,581.77	Professional		$480.17	$664.86	$1,581.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $757.87	Facility		$477.88	$477.88	$757.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $614.24	Professional		$348.85	$348.85	$614.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $477.88 / $477.88	Professional		$348.85	$477.88	$477.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.38 / $430.90 / $564.91	Professional		$313.38	$430.90	$564.91
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $341.97 / $468.92	Professional		$213.73	$341.97	$468.92