Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,316.70 / $2,340.80	Facility		$608.00	$1,316.70	$2,340.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $608.00 / $623.20	Professional		$532.00	$608.00	$623.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $820.80 / $1,344.97	Facility		$671.08	$820.80	$1,344.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $232.00 / $988.00	Professional		$200.00	$232.00	$988.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,223.00 / $21,852.39	Facility		$760.00	$2,223.00	$21,852.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.63 / $1,824.00 / $17,879.22	Professional		$794.63	$1,824.00	$17,879.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $1,600.56 / $5,123.82	Facility		$864.50	$1,600.56	$5,123.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $995.60 / $4,277.55	Professional		$608.00	$995.60	$4,277.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $1,600.56 / $5,123.82	Facility		$864.50	$1,600.56	$5,123.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $608.00	Professional		$608.00	$608.00	$608.00
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,003.73	Professional		$319.20	$456.00	$1,003.73