Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.46 / $414.46 / $2,407.00	Facility		$414.46	$414.46	$2,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.92 / $414.46 / $559.74	Professional		$381.92	$414.46	$559.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.58 / $848.82 / $2,199.19	Facility		$724.58	$848.82	$2,199.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $451.72 / $1,018.57	Professional		$376.44	$451.72	$1,018.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.74 / $771.65 / $1,080.31	Facility		$578.74	$771.65	$1,080.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $771.65 / $1,652.26	Professional		$540.16	$771.65	$1,652.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $1,124.70	Facility		$499.17	$499.17	$1,124.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $637.69	Professional		$364.39	$364.39	$637.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $499.17 / $499.17	Professional		$364.39	$499.17	$499.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.34 / $450.09 / $590.07	Professional		$327.34	$450.09	$590.07
United Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $384.97 / $559.24	Professional		$256.64	$384.97	$559.24