Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.98 / $806.98 / $2,107.00	Facility		$806.98	$806.98	$2,107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.20 / $806.98 / $928.32	Professional		$582.20	$806.98	$928.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,410.79 / $1,652.68 / $4,281.95	Facility		$1,410.79	$1,652.68	$4,281.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.91 / $736.27 / $1,953.17	Professional		$707.91	$736.27	$1,953.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.59 / $1,502.44 / $2,028.29	Facility		$976.59	$1,502.44	$2,028.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.59 / $1,352.20 / $3,217.02	Professional		$976.59	$1,352.20	$3,217.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,575.40	Facility		$755.39	$755.39	$1,575.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $965.01	Professional		$551.42	$551.42	$965.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.38 / $755.39	Professional		$551.42	$755.38	$755.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $637.35 / $876.35 / $1,148.90	Professional		$637.35	$876.35	$1,148.90
United Facility/Professional Professional Modifier Low / Median / High Price $453.79 / $681.37 / $953.70	Professional		$453.79	$681.37	$953.70