Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $3,404.00 / $9,590.40	Facility		$924.00	$3,404.00	$9,590.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $997.37	Professional		$924.00	$924.00	$997.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.71 / $1,055.10 / $2,252.25	Facility		$642.71	$1,055.10	$2,252.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $962.50 / $2,030.87	Professional		$875.00	$962.50	$2,030.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,200.20 / $5,200.20 / $8,840.34	Facility		$5,200.20	$5,200.20	$8,840.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,852.00 / $5,200.20 / $5,200.20	Professional		$3,852.00	$5,200.20	$5,200.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,155.00	Professional		$981.75	$981.75	$1,155.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $2,451.00 / $2,451.00	Facility		$2,451.00	$2,451.00	$2,451.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,155.00	Professional		$981.75	$981.75	$1,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,194.46	Professional		$962.50	$962.50	$1,194.46