Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $1,446.80 / $1,923.95	Facility		$615.66	$1,446.80	$1,923.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $615.66 / $1,110.96	Professional		$615.66	$615.66	$1,110.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.54 / $831.15 / $1,361.93	Facility		$679.54	$831.15	$1,361.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $353.13 / $998.91	Professional		$261.64	$353.13	$998.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $1,000.45 / $1,269.81	Facility		$769.58	$1,000.45	$1,269.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.45 / $1,038.93 / $1,846.99	Professional		$1,000.45	$1,038.93	$1,846.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.82 / $825.56 / $4,392.02	Facility		$686.82	$825.56	$4,392.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.01 / $414.09 / $1,674.60	Professional		$352.01	$414.09	$1,674.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $686.82 / $825.56 / $4,392.02	Facility		$686.82	$825.56	$4,392.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $352.01 / $414.09 / $1,674.60	Professional		$352.01	$414.09	$1,674.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $692.62 / $952.36	Professional		$606.04	$692.62	$952.36
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $1,241.33	Professional		$323.22	$461.75	$1,241.33