Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.16 / $577.16 / $1,630.00	Facility		$577.16	$577.16	$1,630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.09 / $577.16 / $661.20	Professional		$505.09	$577.16	$661.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.02 / $1,182.03 / $3,062.52	Facility		$1,009.02	$1,182.03	$3,062.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.20 / $562.11 / $1,396.94	Professional		$524.20	$562.11	$1,396.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.93 / $1,074.57 / $1,450.67	Facility		$805.93	$1,074.57	$1,450.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.24 / $972.33 / $2,300.87	Professional		$702.24	$972.33	$2,300.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,266.06	Facility		$695.41	$695.41	$1,266.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $859.82	Professional		$507.65	$507.65	$859.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $695.41	Professional		$507.65	$695.41	$695.41
United Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $513.71 / $720.66	Professional		$357.39	$513.71	$720.66