Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.54 / $1,404.00 / $4,013.80	Facility		$466.54	$1,404.00	$4,013.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.64 / $466.54 / $1,039.02	Professional		$363.64	$466.54	$1,039.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.31 / $478.69 / $1,242.10	Professional		$438.31	$478.69	$1,242.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.05 / $955.47 / $1,289.88	Facility		$621.05	$955.47	$1,289.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $621.05 / $859.92 / $2,045.85	Professional		$621.05	$859.92	$2,045.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $950.21	Facility		$451.71	$451.71	$950.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $451.71	Professional		$383.95	$383.95	$451.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.70 / $451.71	Professional		$383.95	$451.70	$451.71
United Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $476.67 / $606.50	Professional		$303.41	$476.67	$606.50