Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.22 / $207.22 / $511.00	Facility		$207.22	$207.22	$511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $207.22 / $333.10	Professional		$201.97	$207.22	$333.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $466.83 / $1,209.51	Facility		$398.50	$466.83	$1,209.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $248.84 / $552.41	Professional		$212.62	$248.84	$552.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.29 / $424.39 / $594.15	Facility		$318.29	$424.39	$594.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.85 / $424.39 / $908.70	Professional		$275.85	$424.39	$908.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $547.38	Facility		$274.52	$274.52	$547.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $350.71	Professional		$200.41	$200.41	$350.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $274.52	Professional		$200.41	$274.52	$274.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $315.48 / $413.59	Professional		$229.44	$315.48	$413.59
United Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $211.72 / $318.51	Professional		$141.15	$211.72	$318.51