Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $787.25 / $1,283.67	Facility		$416.78	$787.25	$1,283.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $333.42 / $1,123.61	Professional		$220.89	$333.42	$1,123.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.02 / $450.12 / $737.58	Facility		$368.02	$450.12	$737.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $257.27 / $600.16	Professional		$205.82	$257.27	$600.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $262.57 / $262.57 / $262.57	Facility		$262.57	$262.57	$262.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $335.51 / $335.51	Professional		$335.51	$335.51	$335.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $479.30 / $625.16	Facility		$416.78	$479.30	$625.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $541.80 / $910.90	Professional		$416.78	$541.80	$910.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $474.09 / $2,378.59	Facility		$428.85	$474.09	$2,378.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $365.27 / $807.23	Professional		$211.84	$365.27	$807.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $474.09 / $1,580.30	Facility		$142.88	$474.09	$1,580.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $374.96 / $986.92	Professional		$211.84	$374.96	$986.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $375.10 / $515.77	Professional		$328.21	$375.10	$515.77
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $608.02	Professional		$175.05	$250.07	$608.02