Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.40 / $516.40 / $741.40	Facility		$516.40	$516.40	$741.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $753.66 / $1,005.44	Professional		$516.40	$753.66	$1,005.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $1,190.40 / $1,860.59	Professional		$217.10	$1,190.40	$1,860.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.18 / $114.11 / $175.50	Facility		$73.18	$114.11	$175.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $114.75 / $159.26	Professional		$72.53	$114.75	$159.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $750.60	Professional		$79.45	$750.60	$750.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.00 / $125.00	Professional		$50.00	$80.00	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $72.88 / $792.27	Professional		$41.68	$72.88	$792.27