Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $493.33 / $1,408.00	Facility		$20.19	$493.33	$1,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $493.33 / $1,477.99	Professional		$410.30	$493.33	$1,477.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $436.00 / $720.23	Professional		$400.00	$436.00	$720.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,177.62 / $12,822.10 / $15,921.33	Facility		$9,177.62	$12,822.10	$15,921.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $689.10 / $1,904.60	Facility		$23.97	$689.10	$1,904.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $244.63 / $476.87	Professional		$182.55	$244.63	$476.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $688.67 / $1,904.60	Facility		$62.91	$688.67	$1,904.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $264.60 / $540.96	Professional		$90.85	$264.60	$540.96