Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.71 / $885.71 / $1,895.00	Facility		$885.71	$885.71	$1,895.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.43 / $885.71 / $1,166.42	Professional		$821.43	$885.71	$1,166.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.28 / $1,995.32 / $5,169.70	Facility		$1,703.28	$1,995.32	$5,169.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.75 / $908.78 / $2,358.10	Professional		$891.75	$908.78	$2,358.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.73 / $1,813.93 / $2,448.81	Facility		$1,262.73	$1,813.93	$2,448.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.05 / $1,632.54 / $3,883.99	Professional		$1,179.05	$1,632.54	$3,883.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,900.41	Facility		$1,232.20	$1,232.20	$1,900.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,508.25	Professional		$899.51	$899.51	$1,508.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,232.20	Professional		$899.51	$1,232.20	$1,232.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $769.48 / $1,058.03 / $1,387.08	Professional		$769.48	$1,058.03	$1,387.08
United Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $904.95 / $1,151.42	Professional		$603.29	$904.95	$1,151.42