Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.03 / $531.03 / $531.03	Facility		$531.03	$531.03	$531.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.03 / $697.76 / $1,069.43	Professional		$531.03	$697.76	$1,069.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.98 / $1,243.08 / $1,988.94	Facility		$901.98	$1,243.08	$1,988.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.32 / $1,163.50 / $1,897.20	Professional		$864.32	$1,163.50	$1,897.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,328.82 / $1,328.82 / $1,328.82	Professional		$1,328.82	$1,328.82	$1,328.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $671.27 / $1,030.43	Facility		$87.58	$671.27	$1,030.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $646.41 / $1,315.95	Professional		$84.53	$646.41	$1,315.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $1,567.75	Facility		$670.25	$670.25	$1,567.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $1,149.75	Professional		$569.71	$670.25	$1,149.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $971.18	Facility		$670.25	$670.25	$971.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $670.25 / $879.71	Professional		$670.25	$670.25	$879.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $155.96 / $1,218.47	Professional		$77.98	$155.96	$1,218.47
United Facility/Professional Professional Modifier Low / Median / High Price $372.54 / $610.39 / $1,034.22	Professional		$372.54	$610.39	$1,034.22