Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.13 / $374.13 / $877.00	Facility		$374.13	$374.13	$877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.91 / $374.13 / $451.91	Professional		$317.91	$374.13	$451.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.47 / $842.83 / $2,183.69	Facility		$719.47	$842.83	$2,183.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.88 / $411.22 / $996.07	Professional		$381.88	$411.22	$996.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $651.28 / $651.28 / $651.28	Professional		$651.28	$651.28	$651.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $516.10 / $766.21 / $1,034.38	Facility		$516.10	$766.21	$1,034.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.04 / $689.59 / $1,640.61	Professional		$498.04	$689.59	$1,640.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $838.05	Facility		$528.47	$528.47	$838.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $637.09	Professional		$385.78	$385.78	$637.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $528.47	Professional		$385.78	$528.47	$528.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $446.90 / $585.89	Professional		$325.02	$446.90	$585.89
United Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $382.25 / $488.80	Professional		$254.84	$382.25	$488.80