Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.60 / $1,542.33 / $2,772.00	Facility		$813.60	$1,542.33	$2,772.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $720.00 / $1,350.00	Professional		$306.00	$720.00	$1,350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.70 / $972.00 / $1,592.73	Facility		$794.70	$972.00	$1,592.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $411.12 / $1,170.00	Professional		$66.64	$411.12	$1,170.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,170.00 / $1,485.00	Facility		$900.00	$1,170.00	$1,485.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,215.00 / $2,160.00	Professional		$1,170.00	$1,215.00	$2,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.21 / $1,016.84 / $5,136.30	Facility		$803.21	$1,016.84	$5,136.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.78 / $484.30 / $1,958.54	Professional		$411.78	$484.30	$1,958.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $803.21 / $1,016.84 / $5,136.30	Facility		$803.21	$1,016.84	$5,136.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $411.78 / $484.30 / $1,958.54	Professional		$411.78	$484.30	$1,958.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $810.00 / $1,113.75	Professional		$708.75	$810.00	$1,113.75
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $1,188.63	Professional		$378.00	$540.00	$1,188.63