Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $268.70 / $1,513.00	Facility		$268.70	$268.70	$1,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $268.70 / $342.80	Professional		$223.53	$268.70	$342.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $550.30 / $1,425.80	Facility		$469.76	$550.30	$1,425.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $278.64 / $650.36	Professional		$244.00	$278.64	$650.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.11 / $500.28 / $675.38	Facility		$348.11	$500.28	$675.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $450.25 / $1,071.20	Professional		$325.18	$450.25	$1,071.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $606.77	Facility		$352.55	$352.55	$606.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $415.97	Professional		$257.36	$257.36	$415.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $352.55	Professional		$257.36	$352.55	$352.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.24 / $291.83 / $382.58	Professional		$212.24	$291.83	$382.58
United Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $239.17 / $345.67	Professional		$166.39	$239.17	$345.67