Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.96 / $455.96 / $1,200.00	Facility		$455.96	$455.96	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.40 / $455.96 / $677.94	Professional		$444.40	$455.96	$677.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.84 / $1,027.18 / $2,661.33	Facility		$876.84	$1,027.18	$2,661.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.54 / $546.64 / $1,232.60	Professional		$455.54	$546.64	$1,232.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $793.73 / $793.73 / $793.73	Professional		$793.73	$793.73	$793.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $700.35 / $933.80 / $1,271.34	Facility		$700.35	$933.80	$1,271.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.88 / $864.52 / $1,999.45	Professional		$611.88	$864.52	$1,999.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,186.01	Facility		$583.49	$583.49	$1,186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $745.41	Professional		$425.95	$425.95	$745.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $583.49	Professional		$425.95	$583.49	$583.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.13 / $544.68 / $714.08	Professional		$396.13	$544.68	$714.08
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $465.86 / $717.88	Professional		$310.58	$465.86	$717.88