Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.00 / $1,079.04 / $2,448.60	Facility		$636.00	$1,079.04	$2,448.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $636.00 / $825.00	Professional		$636.00	$636.00	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.99 / $874.50 / $1,406.91	Facility		$701.99	$874.50	$1,406.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $645.00 / $1,216.01	Professional		$45.54	$645.00	$1,216.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.07 / $834.75 / $1,192.50	Facility		$655.07	$834.75	$1,192.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $1,033.50 / $1,908.00	Professional		$675.75	$1,033.50	$1,908.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.75 / $555.53 / $4,537.07	Facility		$516.75	$555.53	$4,537.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $698.00 / $1,540.04	Professional		$363.74	$698.00	$1,540.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $391.44 / $904.31 / $4,603.32	Facility		$391.44	$904.31	$4,603.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $427.77 / $1,730.29	Professional		$363.74	$427.77	$1,730.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $715.50 / $954.00	Professional		$596.25	$715.50	$954.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $1,049.96	Professional		$333.90	$477.00	$1,049.96