Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $876.41 / $1,435.82	Facility		$466.17	$876.41	$1,435.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $372.94 / $447.52	Professional		$326.32	$372.94	$447.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.63 / $503.46 / $824.98	Facility		$411.63	$503.46	$824.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $699.24 / $1,289.46	Professional		$279.68	$699.24	$1,289.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $1,363.55 / $13,399.73	Facility		$466.17	$1,363.55	$13,399.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.26 / $1,118.81 / $10,963.41	Professional		$487.26	$1,118.81	$10,963.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.66 / $530.27 / $2,660.43	Facility		$479.66	$530.27	$2,660.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $610.67 / $2,400.48	Professional		$272.70	$610.67	$2,400.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $479.66 / $530.27 / $2,660.43	Facility		$479.66	$530.27	$2,660.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $615.66	Professional		$195.79	$279.70	$615.66