Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $1,221.68 / $2,818.07	Facility		$190.00	$1,221.68	$2,818.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $803.96 / $1,287.22	Professional		$677.02	$803.96	$1,287.22
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 $800.00 / $947.82 / $2,049.76	Professional		$800.00	$947.82	$2,049.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $973.21 / $1,269.41	Facility		$846.27	$973.21	$1,269.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,100.15 / $1,850.09	Professional		$846.27	$1,100.15	$1,850.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $1,037.38 / $4,829.70	Facility		$755.26	$1,037.38	$4,829.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $741.45 / $1,933.54	Professional		$387.18	$741.45	$1,933.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $1,037.38 / $4,829.70	Facility		$755.26	$1,037.38	$4,829.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $761.54 / $1,841.67	Professional		$387.18	$761.54	$1,841.67
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 / $1,233.02	Professional		$355.43	$507.76	$1,233.02