Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.81 / $1,574.55 / $3,210.17	Facility		$833.81	$1,574.55	$3,210.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.81 / $833.81 / $1,426.13	Professional		$833.81	$833.81	$1,426.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $1,000.00 / $1,525.00	Professional		$650.00	$1,000.00	$1,525.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.43 / $1,078.59 / $12,678.30	Facility		$770.43	$1,078.59	$12,678.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $983.66 / $1,763.57	Facility		$39.10	$983.66	$1,763.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $740.70 / $1,693.30	Professional		$470.40	$740.70	$1,693.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $1,134.10 / $1,784.74	Facility		$22.34	$1,134.10	$1,784.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $648.64 / $1,077.14	Professional		$470.40	$648.64	$1,077.14
United Facility/Professional Professional Modifier Low / Median / High Price $410.95 / $616.91 / $1,440.80	Professional		$410.95	$616.91	$1,440.80