Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $977.60 / $1,300.00	Facility		$416.00	$977.60	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $416.00 / $750.67	Professional		$364.00	$416.00	$750.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.16 / $561.60 / $920.24	Facility		$459.16	$561.60	$920.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $232.96 / $674.96	Professional		$23.96	$232.96	$674.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $650.00 / $780.00	Facility		$520.00	$650.00	$780.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $702.00 / $1,248.00	Professional		$676.00	$702.00	$1,248.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $1,095.11 / $3,505.77	Facility		$591.50	$1,095.11	$3,505.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.92 / $416.00 / $1,131.83	Professional		$237.92	$416.00	$1,131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $1,095.11 / $3,505.77	Facility		$591.50	$1,095.11	$3,505.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.92 / $416.00 / $1,131.83	Professional		$237.92	$416.00	$1,131.83
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $686.76	Professional		$218.40	$312.00	$686.76