Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.38 / $1,271.58 / $2,083.23	Facility		$676.38	$1,271.58	$2,083.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $821.00 / $1,623.30	Professional		$574.91	$821.00	$1,623.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.23 / $730.48 / $1,196.97	Facility		$597.23	$730.48	$1,196.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $180.36 / $879.28	Professional		$144.37	$180.36	$879.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $1,978.38 / $19,444.02	Facility		$676.37	$1,978.38	$19,444.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.06 / $1,623.29 / $15,908.75	Professional		$707.06	$1,623.29	$15,908.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.63 / $696.39 / $3,860.04	Facility		$603.63	$696.39	$3,860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $886.04 / $3,806.15	Professional		$541.10	$886.04	$3,806.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $603.63 / $696.39 / $3,916.71	Facility		$603.63	$696.39	$3,916.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $541.10 / $541.10	Professional		$541.10	$541.10	$541.10
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $405.82 / $985.47	Professional		$284.08	$405.82	$985.47