Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $1,028.41 / $1,841.57	Facility		$478.33	$1,028.41	$1,841.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $478.33 / $490.29	Professional		$418.54	$478.33	$490.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.95 / $645.74 / $1,058.11	Facility		$527.95	$645.74	$1,058.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $800.00 / $1,515.16	Professional		$640.00	$800.00	$1,515.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $1,748.89 / $17,184.27	Facility		$597.91	$1,748.89	$17,184.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $624.88 / $1,434.98 / $14,059.86	Professional		$624.88	$1,434.98	$14,059.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.22 / $680.12 / $3,412.26	Facility		$615.22	$680.12	$3,412.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $783.26 / $3,365.95	Professional		$349.78	$783.26	$3,365.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $615.22 / $680.12 / $3,412.26	Facility		$615.22	$680.12	$3,412.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $349.78 / $349.78	Professional		$349.78	$349.78	$349.78
United Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $215.25 / $538.12	Facility		$215.25	$215.25	$538.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $871.15	Professional		$251.12	$358.75	$871.15