Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,097.14 / $1,900.00	Facility		$608.00	$1,097.14	$1,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.47 / $608.00 / $1,097.14	Professional		$421.47	$608.00	$1,097.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $820.80 / $1,344.97	Facility		$671.08	$820.80	$1,344.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $347.16 / $986.48	Professional		$258.39	$347.16	$986.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.34 / $874.00 / $1,140.00	Facility		$706.34	$874.00	$1,140.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,026.00 / $1,824.00	Professional		$988.00	$1,026.00	$1,824.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.00 / $864.50 / $4,337.32	Facility		$782.00	$864.50	$4,337.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $448.80 / $1,472.32	Professional		$276.42	$448.80	$1,472.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $782.00 / $864.50 / $4,337.32	Facility		$782.00	$864.50	$4,337.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $408.99 / $1,472.32	Professional		$276.42	$408.99	$1,472.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $684.00 / $940.50	Professional		$598.50	$684.00	$940.50
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $456.00 / $1,225.88	Professional		$252.88	$456.00	$1,225.88