Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.73 / $956.73 / $3,737.00	Facility		$956.73	$956.73	$3,737.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.54 / $956.73 / $1,431.57	Professional		$764.54	$956.73	$1,431.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.26 / $1,199.30 / $2,390.37	Professional		$1,060.26	$1,199.30	$2,390.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $179.17 / $1,814.10	Facility		$134.38	$179.17	$1,814.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $179.17 / $1,734.75	Professional		$116.46	$179.17	$1,734.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.06 / $1,122.47 / $2,060.42	Facility		$974.06	$1,122.47	$2,060.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $954.10 / $2,077.50	Professional		$341.57	$954.10	$2,077.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $974.06 / $1,122.47 / $1,459.20	Facility		$974.06	$1,122.47	$1,459.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,122.47 / $1,122.47	Professional		$341.57	$1,122.47	$1,122.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $212.02 / $1,413.50	Professional		$96.37	$212.02	$1,413.50
United Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $808.81 / $1,346.97	Professional		$538.79	$808.81	$1,346.97