Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $1,099.60 / $1,801.49	Facility		$467.92	$1,099.60	$1,801.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $467.92 / $479.62	Professional		$409.43	$467.92	$479.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.47 / $631.69 / $1,035.09	Facility		$516.47	$631.69	$1,035.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $335.05 / $760.37	Professional		$245.51	$335.05	$760.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,710.83 / $16,812.56	Facility		$584.90	$1,710.83	$16,812.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.37 / $1,403.76 / $13,755.72	Professional		$611.37	$1,403.76	$13,755.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $602.22 / $3,338.07	Facility		$522.00	$602.22	$3,338.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $851.36 / $3,291.96	Professional		$467.92	$851.36	$3,291.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $602.22 / $3,387.08	Facility		$522.00	$602.22	$3,387.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $467.92 / $467.92	Professional		$467.92	$467.92	$467.92
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $796.75	Professional		$245.66	$350.94	$796.75