Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $1,455.59 / $2,115.67	Facility		$677.02	$1,455.59	$2,115.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $677.02 / $1,221.68	Professional		$592.39	$677.02	$1,221.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.26 / $913.97 / $1,497.64	Facility		$747.26	$913.97	$1,497.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $440.06 / $1,265.36	Professional		$338.51	$440.06	$1,265.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $786.29 / $973.21 / $1,269.41	Facility		$786.29	$973.21	$1,269.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,100.15 / $1,142.46 / $2,031.05	Professional		$1,100.15	$1,142.46	$2,031.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.78 / $962.64 / $4,829.70	Facility		$870.78	$962.64	$4,829.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $627.12 / $1,639.26	Professional		$385.87	$627.12	$1,639.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $870.78 / $962.64 / $4,829.70	Facility		$870.78	$962.64	$4,829.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $495.07 / $1,639.26	Professional		$385.87	$495.07	$1,639.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $666.43 / $761.64 / $1,047.25	Professional		$666.43	$761.64	$1,047.25
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,117.67	Professional		$355.43	$507.76	$1,117.67