Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.60 / $1,313.20 / $2,762.76	Facility		$717.60	$1,313.20	$2,762.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $717.60 / $1,231.84	Professional		$440.00	$717.60	$1,231.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.05 / $986.70 / $1,587.42	Facility		$792.05	$986.70	$1,587.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $358.80 / $968.76	Professional		$49.15	$358.80	$968.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.45 / $951.63 / $1,390.35	Facility		$762.45	$951.63	$1,390.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $762.45 / $1,166.09 / $2,152.80	Professional		$762.45	$1,166.09	$2,152.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.69 / $922.97 / $3,061.01	Facility		$441.69	$922.97	$3,061.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $583.04 / $1,737.82	Professional		$410.30	$583.04	$1,737.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $427.60 / $923.55 / $3,061.01	Facility		$427.60	$923.55	$3,061.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $482.65 / $1,737.82	Professional		$275.00	$482.65	$1,737.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $773.66 / $1,076.40	Professional		$672.75	$773.66	$1,076.40
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $1,175.07	Professional		$376.74	$538.20	$1,175.07