Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.48 / $344.48 / $899.00	Facility		$344.48	$344.48	$899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $344.48 / $590.91	Professional		$335.75	$344.48	$590.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.46 / $776.04 / $2,010.65	Facility		$662.46	$776.04	$2,010.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.16 / $412.99 / $931.24	Professional		$344.16	$412.99	$931.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.12 / $705.49 / $952.41	Facility		$529.12	$705.49	$952.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.84 / $705.49 / $1,510.60	Professional		$493.84	$705.49	$1,510.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $915.62	Facility		$448.56	$448.56	$915.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $573.04	Professional		$327.45	$327.45	$573.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $448.56	Professional		$327.45	$448.56	$448.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $411.51 / $539.48	Professional		$299.27	$411.51	$539.48
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $351.96 / $542.36	Professional		$234.64	$351.96	$542.36