Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.30 / $463.30 / $1,068.00	Facility		$463.30	$463.30	$1,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $463.30 / $607.60	Professional		$413.49	$463.30	$607.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.96 / $1,043.72 / $2,704.19	Facility		$890.96	$1,043.72	$2,704.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.36 / $510.00 / $1,233.49	Professional		$475.36	$510.00	$1,233.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $806.51 / $806.51 / $806.51	Professional		$806.51	$806.51	$806.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.08 / $948.84 / $1,280.93	Facility		$640.08	$948.84	$1,280.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.75 / $853.96 / $2,031.66	Professional		$616.75	$853.96	$2,031.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $1,029.38	Facility		$528.74	$528.74	$1,029.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $675.47	Professional		$385.98	$385.98	$675.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $528.74 / $528.74	Professional		$385.98	$528.74	$528.74
United Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $473.36 / $616.57	Professional		$315.58	$473.36	$616.57