Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.68 / $1,370.88 / $2,217.60	Facility		$679.68	$1,370.88	$2,217.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $292.60 / $576.00	Professional		$292.60	$292.60	$576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $511.56 / $1,029.19	Professional		$228.90	$511.56	$1,029.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,106.00 / $20,699.31	Facility		$720.00	$2,106.00	$20,699.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.70 / $1,728.00 / $16,935.81	Professional		$752.70	$1,728.00	$16,935.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,516.32 / $4,854.14	Facility		$819.00	$1,516.32	$4,854.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $943.20 / $4,053.52	Professional		$421.20	$943.20	$4,053.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,516.32 / $4,854.14	Facility		$819.00	$1,516.32	$4,854.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $421.20 / $421.20	Professional		$421.20	$421.20	$421.20
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $950.90	Professional		$302.39	$432.00	$950.90