Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.75 / $905.75 / $2,803.00	Facility		$905.75	$905.75	$2,803.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.68 / $905.75 / $1,037.69	Professional		$792.68	$905.75	$1,037.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,583.46 / $1,854.96 / $4,806.04	Facility		$1,583.46	$1,854.96	$4,806.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.86 / $916.09 / $2,192.21	Professional		$844.86	$916.09	$2,192.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,264.75 / $1,686.33 / $2,276.55	Facility		$1,264.75	$1,686.33	$2,276.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,102.06 / $1,525.93 / $3,610.77	Professional		$1,102.06	$1,525.93	$3,610.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $1,986.89	Facility		$941.33	$941.33	$1,986.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $1,202.55	Professional		$687.17	$687.17	$1,202.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $941.33	Professional		$687.17	$941.33	$941.33
United Facility/Professional Professional Modifier Low / Median / High Price $560.86 / $800.57 / $1,132.35	Professional		$560.86	$800.57	$1,132.35