Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.91 / $920.91 / $2,026.00	Facility		$920.91	$920.91	$2,026.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $920.91 / $1,268.28	Professional		$897.58	$920.91	$1,268.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,770.97 / $2,074.62 / $5,375.16	Facility		$1,770.97	$2,074.62	$5,375.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.41 / $1,011.93 / $2,451.82	Professional		$850.41	$1,011.93	$2,451.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,414.52 / $1,886.02 / $2,546.13	Facility		$1,414.52	$1,886.02	$2,546.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,232.54 / $1,706.59 / $4,038.35	Professional		$1,232.54	$1,706.59	$4,038.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $2,222.12	Facility		$1,329.56	$1,329.56	$2,222.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,568.19	Professional		$970.58	$970.58	$1,568.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,329.56	Professional		$970.58	$970.58	$1,329.56
United Facility/Professional Professional Modifier Low / Median / High Price $627.28 / $940.91 / $1,295.26	Professional		$627.28	$940.91	$1,295.26