Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.57 / $595.57 / $3,840.00	Facility		$595.57	$595.57	$3,840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $595.57 / $748.71	Professional		$578.15	$595.57	$748.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.31 / $514.48 / $857.86	Professional		$362.31	$514.48	$857.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $583.58 / $8,753.75 / $18,054.59	Facility		$583.58	$8,753.75	$18,054.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $559.27 / $9,847.95 / $17,378.75	Professional		$559.27	$9,847.95	$17,378.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.82 / $2,385.50 / $3,309.75	Facility		$1,388.82	$2,385.50	$3,309.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.59 / $1,010.59 / $1,424.51	Professional		$1,010.59	$1,010.59	$1,424.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,388.82 / $2,385.50 / $3,309.75	Facility		$1,388.82	$2,385.50	$3,309.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.59 / $1,010.59 / $1,424.51	Professional		$1,010.59	$1,010.59	$1,424.51
United Facility/Professional Professional Modifier Low / Median / High Price $514.32 / $1,771.96 / $3,331.28	Professional		$514.32	$1,771.96	$3,331.28