Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $273.27 / $643.00	Facility		$273.27	$273.27	$643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $273.27 / $376.34	Professional		$266.35	$273.27	$376.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.53 / $615.64 / $1,595.06	Facility		$525.53	$615.64	$1,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $305.45 / $727.57	Professional		$280.39	$305.45	$727.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.75 / $559.66 / $755.55	Facility		$419.75	$559.66	$755.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $506.46 / $1,198.36	Professional		$365.77	$506.46	$1,198.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $659.45	Facility		$362.03	$362.03	$659.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $462.49	Professional		$264.27	$264.27	$462.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $362.03	Professional		$264.27	$362.03	$362.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.51 / $380.20 / $498.44	Professional		$276.51	$380.20	$498.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $279.20 / $384.36	Professional		$186.14	$279.20	$384.36