Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.25 / $325.25 / $755.00	Facility		$325.25	$325.25	$755.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.19 / $325.25 / $430.20	Professional		$290.19	$325.25	$430.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.47 / $732.71 / $1,898.39	Facility		$625.47	$732.71	$1,898.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.73 / $359.88 / $865.93	Professional		$333.73	$359.88	$865.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.84 / $666.10 / $899.24	Facility		$443.84	$666.10	$899.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.97 / $599.49 / $1,426.25	Professional		$432.97	$599.49	$1,426.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $768.72	Facility		$400.78	$400.78	$768.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $512.00	Professional		$292.57	$292.57	$512.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $400.78 / $400.78	Professional		$292.57	$400.78	$400.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $388.55 / $509.39	Professional		$282.58	$388.55	$509.39
United Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $332.32 / $454.95	Professional		$221.54	$332.32	$454.95