Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.42 / $218.42 / $533.00	Facility		$218.42	$218.42	$533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $218.42 / $300.83	Professional		$212.89	$218.42	$300.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.03 / $492.05 / $1,274.85	Facility		$420.03	$492.05	$1,274.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $243.00 / $587.77	Professional		$224.10	$243.00	$587.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $447.32 / $603.88	Facility		$335.49	$447.32	$603.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $404.74 / $957.80	Professional		$292.31	$404.74	$957.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $527.00	Facility		$318.35	$318.35	$527.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $371.94	Professional		$232.40	$232.40	$371.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $318.35	Professional		$232.40	$318.35	$318.35
United Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $223.16 / $307.20	Professional		$148.78	$223.16	$307.20