Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $1,304.38 / $1,895.90	Facility		$606.69	$1,304.38	$1,895.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $606.69 / $1,094.77	Professional		$500.00	$606.69	$1,094.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.63 / $819.03 / $1,342.07	Facility		$669.63	$819.03	$1,342.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $394.34 / $1,051.83	Professional		$303.33	$394.34	$1,051.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $985.87 / $1,251.29	Facility		$758.36	$985.87	$1,251.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $985.87 / $1,023.79 / $1,820.06	Professional		$985.87	$1,023.79	$1,820.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.61 / $780.80 / $4,327.93	Facility		$666.61	$780.80	$4,327.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.90 / $408.08 / $1,650.29	Professional		$346.90	$408.08	$1,650.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $666.61 / $780.80 / $4,327.93	Facility		$666.61	$780.80	$4,327.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.90 / $449.87 / $1,650.29	Professional		$346.90	$449.87	$1,650.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $597.20 / $682.52 / $938.47	Professional		$597.20	$682.52	$938.47
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $455.02 / $1,001.57	Professional		$318.51	$455.02	$1,001.57