Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $723.52 / $1,170.40	Facility		$380.00	$723.52	$1,170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $311.60 / $714.40	Professional		$266.00	$311.60	$714.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.54 / $410.40 / $672.49	Facility		$335.54	$410.40	$672.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $928.00 / $1,448.00	Professional		$640.00	$928.00	$1,448.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $1,111.50 / $10,926.36	Facility		$380.00	$1,111.50	$10,926.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $912.00 / $8,939.75	Professional		$397.32	$912.00	$8,939.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.13 / $391.25 / $2,168.66	Facility		$339.13	$391.25	$2,168.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $497.80 / $2,138.80	Professional		$304.00	$497.80	$2,138.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $339.13 / $391.25 / $2,200.50	Facility		$339.13	$391.25	$2,200.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00
United Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $456.00 / $456.00	Facility		$456.00	$456.00	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $553.66	Professional		$159.60	$228.00	$553.66