Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.60 / $477.60 / $477.60	Professional		$477.60	$477.60	$477.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $736.87 / $1,207.45	Facility		$602.46	$736.87	$1,207.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $89.66 / $885.61	Professional		$65.70	$89.66	$885.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $1,995.70 / $19,611.25	Facility		$682.29	$1,995.70	$19,611.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.14 / $1,637.50 / $16,045.58	Professional		$713.14	$1,637.50	$16,045.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.91 / $702.49 / $3,893.84	Facility		$608.91	$702.49	$3,893.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $893.80 / $3,841.23	Professional		$545.83	$893.80	$3,841.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $608.91 / $702.49 / $3,951.01	Facility		$608.91	$702.49	$3,951.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $545.83 / $545.83	Professional		$545.83	$545.83	$545.83
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $409.37 / $901.10	Professional		$286.56	$409.37	$901.10