Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.15 / $737.15 / $2,469.00	Facility		$737.15	$737.15	$2,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.28 / $737.15 / $1,024.76	Professional		$679.28	$737.15	$1,024.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.73 / $1,509.70 / $3,911.48	Facility		$1,288.73	$1,509.70	$3,911.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.52 / $803.42 / $1,811.63	Professional		$669.52	$803.42	$1,811.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.33 / $1,372.45 / $1,921.43	Facility		$1,029.33	$1,372.45	$1,921.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $892.09 / $1,372.45 / $2,938.69	Professional		$892.09	$1,372.45	$2,938.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,718.02	Facility		$969.19	$969.19	$1,718.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,141.17	Professional		$707.51	$707.51	$1,141.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $969.19	Facility		$969.19	$969.19	$969.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $969.19 / $969.19	Professional		$707.51	$969.19	$969.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $600.21 / $825.29 / $1,081.96	Professional		$600.21	$825.29	$1,081.96
United Facility/Professional Professional Modifier Low / Median / High Price $456.47 / $678.59 / $1,031.40	Professional		$456.47	$678.59	$1,031.40