Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,307.20 / $2,340.80	Facility		$608.00	$1,307.20	$2,340.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $608.00 / $623.20	Professional		$532.00	$608.00	$623.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $820.80 / $1,344.97	Facility		$671.08	$820.80	$1,344.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $352.64 / $986.48	Professional		$258.39	$352.64	$986.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,223.00 / $21,852.39	Facility		$760.00	$2,223.00	$21,852.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.63 / $1,824.00 / $17,879.22	Professional		$794.63	$1,824.00	$17,879.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.26 / $782.50 / $4,337.32	Facility		$678.26	$782.50	$4,337.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $995.60 / $4,277.55	Professional		$608.00	$995.60	$4,277.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $678.26 / $782.50 / $4,401.01	Facility		$678.26	$782.50	$4,401.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $608.00	Professional		$608.00	$608.00	$608.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $995.60	Professional		$319.20	$456.00	$995.60