Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,696.42 / $2,625.00	Facility		$840.00	$1,696.42	$2,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.65 / $840.00 / $1,466.00	Professional		$729.65	$840.00	$1,466.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.15 / $1,155.00 / $1,858.19	Facility		$927.15	$1,155.00	$1,858.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $447.72 / $1,309.56	Professional		$420.00	$447.72	$1,309.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,102.50 / $1,575.00	Facility		$892.50	$1,102.50	$1,575.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $1,365.00 / $2,520.00	Professional		$892.50	$1,365.00	$2,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $1,081.08 / $4,060.68	Facility		$682.50	$1,081.08	$4,060.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $711.41 / $2,034.16	Professional		$480.30	$711.41	$2,034.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $1,081.08 / $4,060.68	Facility		$682.50	$1,081.08	$4,060.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $682.50 / $2,034.16	Professional		$480.30	$682.50	$2,034.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $577.50 / $577.50	Professional		$577.50	$577.50	$577.50
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $630.00 / $1,375.50	Professional		$437.79	$630.00	$1,375.50