Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $1,098.84 / $1,587.53	Facility		$415.04	$1,098.84	$1,587.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $415.04 / $440.98	Professional		$415.04	$415.04	$440.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.50 / $960.64 / $2,810.15	Facility		$648.50	$960.64	$2,810.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.33 / $550.35 / $912.21	Professional		$432.33	$550.35	$912.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.98 / $59,702.01 / $59,702.01	Facility		$440.98	$59,702.01	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $507.29	Professional		$440.98	$440.98	$507.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $419.98 / $440.98	Facility		$419.98	$419.98	$440.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $518.79	Professional		$440.98	$440.98	$518.79