Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $1,353.60 / $2,217.60	Facility		$576.00	$1,353.60	$2,217.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $576.00 / $691.20	Professional		$489.60	$576.00	$691.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $1,152.35	Professional		$228.90	$228.90	$1,152.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $936.00 / $16,848.00	Facility		$612.00	$936.00	$16,848.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.70 / $1,574.28 / $19,924.49	Professional		$752.70	$1,574.28	$19,924.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $741.31 / $4,109.04	Facility		$468.00	$741.31	$4,109.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $827.24 / $1,034.05	Professional		$468.00	$827.24	$1,034.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $741.31 / $4,109.04	Facility		$468.00	$741.31	$4,109.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $950.90	Professional		$302.39	$432.00	$950.90