Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.66 / $368.66 / $821.00	Facility		$368.66	$368.66	$821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.72 / $368.66 / $504.28	Professional		$345.72	$368.66	$504.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.95 / $830.51 / $2,151.78	Facility		$708.95	$830.51	$2,151.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $384.00 / $981.51	Professional		$368.32	$384.00	$981.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $641.76 / $641.76 / $641.76	Professional		$641.76	$641.76	$641.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.77 / $755.01 / $1,019.26	Facility		$528.77	$755.01	$1,019.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.76 / $679.51 / $1,616.63	Professional		$490.76	$679.51	$1,616.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $812.28	Facility		$394.91	$394.91	$812.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $504.50	Professional		$288.27	$288.27	$504.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.90 / $394.91	Professional		$288.27	$394.90	$394.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.28 / $440.39 / $577.35	Professional		$320.28	$440.39	$577.35
United Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $376.66 / $485.86	Professional		$251.11	$376.66	$485.86