Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.13 / $1,274.11 / $1,505.27	Professional		$775.13	$1,274.11	$1,505.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.09 / $1,148.59 / $2,310.00	Professional		$860.09	$1,148.59	$2,310.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.72 / $2,231.73 / $2,575.08	Facility		$1,716.72	$2,231.73	$2,575.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,888.39 / $2,231.73 / $4,120.13	Professional		$1,888.39	$2,231.73	$4,120.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $721.54 / $1,082.31 / $1,307.79	Professional		$721.54	$1,082.31	$1,307.79
United Facility/Professional Professional Modifier Low / Median / High Price $514.37 / $791.87 / $1,044.40	Professional		$514.37	$791.87	$1,044.40