Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,168.21 / $1,974.69	Facility		$593.00	$1,168.21	$1,974.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.59 / $598.91 / $1,055.54	Professional		$588.59	$598.91	$1,055.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.44 / $1,035.67 / $1,701.91	Facility		$640.44	$1,035.67	$1,701.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $999.79	Professional		$593.00	$593.00	$999.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $794.62 / $794.62 / $794.62	Facility		$794.62	$794.62	$794.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $1,008.10	Facility		$593.00	$593.00	$1,008.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $800.55	Professional		$593.00	$593.00	$800.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $559.44 / $593.00	Facility		$559.44	$559.44	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $1,041.81	Professional		$593.00	$593.00	$1,041.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $593.00 / $593.00	Facility		$559.44	$593.00	$593.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $1,041.81	Professional		$593.00	$593.00	$1,041.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $634.75 / $741.25 / $836.72	Professional		$634.75	$741.25	$836.72
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $772.09	Professional		$593.00	$593.00	$772.09