Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $575.44	Facility		$562.34	$562.34	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $758.58	Professional		$562.34	$575.44	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $812.83	Professional		$251.19	$323.59	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $204.17	Facility		$85.11	$125.89	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $151.36	Professional		$109.65	$109.65	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $60.26	Professional		$34.67	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86