Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,032.00 / $1,848.00	Facility		$480.00	$1,032.00	$1,848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $480.00 / $492.00	Professional		$210.95	$480.00	$492.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.79 / $648.00 / $1,061.82	Facility		$529.79	$648.00	$1,061.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $180.36 / $780.00	Professional		$144.37	$180.36	$780.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,755.00 / $17,249.58	Facility		$600.00	$1,755.00	$17,249.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $1,440.00 / $14,113.31	Professional		$627.26	$1,440.00	$14,113.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.47 / $617.76 / $1,745.09	Facility		$535.47	$617.76	$1,745.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $394.77 / $3,377.63	Professional		$241.08	$394.77	$3,377.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.47 / $617.76 / $3,424.20	Facility		$535.47	$617.76	$3,424.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $241.08 / $241.08	Professional		$241.08	$241.08	$241.08
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $698.17	Professional		$126.57	$180.81	$698.17