Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $1,368.16 / $2,589.19	Facility		$672.52	$1,368.16	$2,589.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $672.52 / $798.62	Professional		$672.52	$672.52	$798.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $846.27 / $1,273.64	Professional		$719.32	$846.27	$1,273.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.55 / $1,092.84 / $22,401.41	Facility		$714.55	$1,092.84	$22,401.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $878.82 / $1,838.06 / $23,263.01	Professional		$878.82	$1,838.06	$23,263.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $865.53 / $3,250.95	Facility		$546.41	$865.53	$3,250.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $966.01 / $1,207.51	Professional		$546.41	$966.01	$1,207.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $865.53 / $3,250.95	Facility		$546.41	$865.53	$3,250.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $546.41 / $546.41	Professional		$546.41	$546.41	$546.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,008.78 / $1,008.78	Facility		$1,008.78	$1,008.78	$1,008.78
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $1,008.78	Professional		$353.07	$504.39	$1,008.78