Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $1,143.36 / $1,873.18	Facility		$486.54	$1,143.36	$1,873.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.72 / $486.54 / $486.54	Professional		$425.72	$486.54	$486.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $131.91 / $789.40	Professional		$109.93	$131.91	$789.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $1,778.90 / $17,481.84	Facility		$608.16	$1,778.90	$17,481.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $635.70 / $1,459.61 / $14,303.33	Professional		$635.70	$1,459.61	$14,303.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.79 / $1,280.80 / $4,100.18	Facility		$691.79	$1,280.80	$4,100.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $691.79 / $1,280.80 / $4,100.18	Facility		$691.79	$1,280.80	$4,100.18
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $364.90 / $803.21	Professional		$255.43	$364.90	$803.21