Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.90 / $2,558.29 / $3,718.43	Facility		$1,189.90	$2,558.29	$3,718.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.90 / $1,189.90 / $1,487.37	Professional		$1,189.90	$1,189.90	$1,487.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.35 / $1,636.11 / $2,632.20	Facility		$1,313.35	$1,636.11	$2,632.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $594.95 / $1,142.30	Professional		$34.22	$594.95	$1,142.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,561.74 / $2,454.16	Facility		$1,264.26	$1,561.74	$2,454.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,933.58 / $3,569.69	Professional		$1,264.26	$1,933.58	$3,569.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $966.79 / $1,531.40 / $5,075.64	Facility		$966.79	$1,531.40	$5,075.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $966.79 / $2,136.23	Professional		$680.42	$966.79	$2,136.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $732.39 / $1,531.40 / $5,752.96	Facility		$732.39	$1,531.40	$5,752.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $680.42 / $966.79	Professional		$45.20	$680.42	$966.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $818.05 / $818.05 / $818.05	Professional		$818.05	$818.05	$818.05
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $892.42 / $1,948.45	Professional		$624.70	$892.42	$1,948.45