Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,546.13 / $2,926.00	Facility		$760.00	$1,546.13	$2,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $912.00	Professional		$760.00	$760.00	$912.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.85 / $1,045.00 / $1,681.22	Facility		$838.85	$1,045.00	$1,681.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $729.60	Professional		$285.82	$336.26	$729.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,235.00 / $22,230.00	Facility		$712.50	$1,235.00	$22,230.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $993.13 / $2,077.13 / $26,288.66	Professional		$993.13	$2,077.13	$26,288.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $978.12 / $3,674.73	Facility		$617.50	$978.12	$3,674.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $1,091.56 / $1,364.45	Professional		$617.50	$1,091.56	$1,364.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $978.12 / $3,674.73	Facility		$617.50	$978.12	$3,674.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $617.50 / $617.50	Professional		$617.50	$617.50	$617.50
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,244.50	Professional		$399.00	$570.00	$1,244.50