Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.60 / $275.60 / $1,387.00	Facility		$275.60	$275.60	$1,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $275.60 / $405.17	Professional		$241.00	$275.60	$405.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.99 / $620.86 / $1,608.60	Facility		$529.99	$620.86	$1,608.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.76 / $294.47 / $733.74	Professional		$282.76	$294.47	$733.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.70 / $564.41 / $761.97	Facility		$409.70	$564.41	$761.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $507.98 / $1,208.54	Professional		$366.87	$507.98	$1,208.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $647.05	Facility		$365.10	$365.10	$647.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $466.42	Professional		$266.52	$266.52	$466.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $365.10	Professional		$266.52	$365.10	$365.10
United Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $281.58 / $370.55	Professional		$187.72	$281.58	$370.55