Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.17 / $696.17 / $2,445.00	Facility		$696.17	$696.17	$2,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.26 / $696.17 / $803.44	Professional		$609.26	$696.17	$803.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.08 / $1,425.75 / $3,694.00	Facility		$1,217.08	$1,425.75	$3,694.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.85 / $712.33 / $1,684.98	Professional		$583.85	$712.33	$1,684.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $972.11 / $1,296.14 / $1,749.79	Facility		$972.11	$1,296.14	$1,749.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.06 / $1,172.84 / $2,775.29	Professional		$847.06	$1,172.84	$2,775.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,527.16	Facility		$723.52	$723.52	$1,527.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $924.30	Professional		$528.16	$528.16	$924.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $723.52	Professional		$528.16	$723.52	$723.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $622.99 / $856.61 / $1,123.02	Professional		$622.99	$856.61	$1,123.02
United Facility/Professional Professional Modifier Low / Median / High Price $427.00 / $615.33 / $870.35	Professional		$427.00	$615.33	$870.35