Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,634.00 / $2,926.00	Facility		$760.00	$1,634.00	$2,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $760.00 / $779.00	Professional		$665.00	$760.00	$779.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.85 / $1,026.00 / $1,681.22	Facility		$838.85	$1,026.00	$1,681.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $182.81 / $1,233.09	Professional		$115.22	$182.81	$1,233.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,778.75 / $27,310.98	Facility		$950.00	$2,778.75	$27,310.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $993.13 / $2,280.00 / $22,345.35	Professional		$993.13	$2,280.00	$22,345.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.50 / $1,080.63 / $5,421.65	Facility		$977.50	$1,080.63	$5,421.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $1,244.50 / $5,346.95	Professional		$555.75	$1,244.50	$5,346.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $977.50 / $1,080.63 / $5,421.65	Facility		$977.50	$1,080.63	$5,421.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $555.75 / $555.75	Professional		$555.75	$555.75	$555.75
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,384.15	Professional		$399.00	$570.00	$1,384.15