Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.12 / $816.12 / $2,451.00	Facility		$816.12	$816.12	$2,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.40 / $816.12 / $1,055.77	Professional		$697.40	$816.12	$1,055.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.78 / $1,671.42 / $4,330.49	Facility		$1,426.78	$1,671.42	$4,330.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.24 / $811.44 / $1,975.31	Professional		$741.24	$811.44	$1,975.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,291.55 / $1,291.55 / $1,291.55	Professional		$1,291.55	$1,291.55	$1,291.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,086.08 / $1,519.47 / $2,051.28	Facility		$1,086.08	$1,519.47	$2,051.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.66 / $1,367.52 / $3,253.49	Professional		$987.66	$1,367.52	$3,253.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $1,753.24	Facility		$832.50	$832.50	$1,753.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $1,063.52	Professional		$607.73	$607.73	$1,063.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $832.50	Professional		$607.73	$832.50	$832.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $644.57 / $886.29 / $1,161.92	Professional		$644.57	$886.29	$1,161.92
United Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $751.29 / $1,017.13	Professional		$505.37	$751.29	$1,017.13