Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $648.10	Facility		$553.94	$553.94	$648.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $570.54	Professional		$553.94	$553.94	$570.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $631.49 / $1,075.52	Professional		$553.94	$631.49	$1,075.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $941.70	Facility		$553.94	$553.94	$941.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $747.82	Professional		$553.94	$553.94	$747.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.58 / $522.58 / $553.94	Facility		$522.58	$522.58	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $783.87	Professional		$553.94	$553.94	$783.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,062.50 / $1,062.50 / $1,062.50	Facility		$1,062.50	$1,062.50	$1,062.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $783.87	Professional		$553.94	$553.94	$783.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $272.71 / $609.33	Professional		$214.31	$272.71	$609.33
United Facility/Professional Professional Modifier Low / Median / High Price $255.38 / $553.94 / $707.94	Professional		$255.38	$553.94	$707.94