Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.02 / $808.02 / $2,282.00	Facility		$808.02	$808.02	$2,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.14 / $808.02 / $925.71	Professional		$707.14	$808.02	$925.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.61 / $1,654.82 / $4,287.47	Facility		$1,412.61	$1,654.82	$4,287.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.88 / $797.06 / $1,955.69	Professional		$733.88	$797.06	$1,955.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,278.72 / $1,278.72 / $1,278.72	Professional		$1,278.72	$1,278.72	$1,278.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,128.29 / $1,504.38 / $2,030.91	Facility		$1,128.29	$1,504.38	$2,030.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $983.16 / $1,361.30 / $3,221.18	Professional		$983.16	$1,361.30	$3,221.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,772.52	Facility		$1,038.85	$1,038.85	$1,772.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,250.86	Professional		$758.37	$758.37	$1,250.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,038.85	Professional		$758.37	$1,038.85	$1,038.85
United Facility/Professional Professional Modifier Low / Median / High Price $500.35 / $723.21 / $1,039.22	Professional		$500.35	$723.21	$1,039.22