Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.53 / $252.53 / $754.00	Facility		$252.53	$252.53	$754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $252.53 / $372.66	Professional		$246.13	$252.53	$372.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.63 / $568.90 / $1,473.96	Facility		$485.63	$568.90	$1,473.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.11 / $310.62 / $682.67	Professional		$259.11	$310.62	$682.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.89 / $517.17 / $698.19	Facility		$387.89	$517.17	$698.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.67 / $517.17 / $1,107.39	Professional		$341.67	$517.17	$1,107.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $677.28	Facility		$364.44	$364.44	$677.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $430.03	Professional		$266.04	$266.04	$430.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $364.44	Professional		$266.04	$364.44	$364.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $301.67 / $395.49	Professional		$219.40	$301.67	$395.49
United Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $258.02 / $397.59	Professional		$172.01	$258.02	$397.59