Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.84 / $424.84 / $1,467.00	Facility		$424.84	$424.84	$1,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $424.84 / $504.34	Professional		$380.94	$424.84	$504.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.73 / $870.08 / $2,254.29	Facility		$742.73	$870.08	$2,254.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $463.19 / $1,028.27	Professional		$385.87	$463.19	$1,028.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.24 / $804.27 / $1,107.36	Facility		$593.24	$804.27	$1,107.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $790.98 / $1,693.65	Professional		$553.69	$790.98	$1,693.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $1,108.82	Facility		$494.25	$494.25	$1,108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $631.40	Professional		$360.80	$360.80	$631.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $494.25	Professional		$360.80	$494.25	$494.25
United Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $394.61 / $573.24	Professional		$263.08	$394.61	$573.24