Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.68 / $1,353.60 / $2,217.60	Facility		$679.68	$1,353.60	$2,217.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $576.00	Professional		$504.00	$504.00	$576.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.76 / $777.60 / $1,274.18	Facility		$635.76	$777.60	$1,274.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $263.23 / $934.56	Professional		$194.56	$263.23	$934.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,106.00 / $20,699.31	Facility		$720.00	$2,106.00	$20,699.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.70 / $1,728.00 / $16,935.81	Professional		$752.70	$1,728.00	$16,935.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.55 / $741.31 / $4,109.04	Facility		$642.55	$741.31	$4,109.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $943.20 / $4,053.52	Professional		$576.00	$943.20	$4,053.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $642.55 / $741.31 / $4,169.37	Facility		$642.55	$741.31	$4,169.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $576.00	Professional		$576.00	$576.00	$576.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,161.35	Professional		$302.39	$432.00	$1,161.35