Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.53 / $853.53 / $2,535.00	Facility		$853.53	$853.53	$2,535.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.96 / $853.53 / $977.84	Professional		$746.96	$853.53	$977.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,492.19 / $1,748.04 / $4,529.02	Facility		$1,492.19	$1,748.04	$4,529.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.23 / $864.22 / $2,065.86	Professional		$775.23	$864.22	$2,065.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.84 / $1,589.13 / $2,145.33	Facility		$1,191.84	$1,589.13	$2,145.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.52 / $1,437.95 / $3,402.65	Professional		$1,038.52	$1,437.95	$3,402.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,872.32	Facility		$1,115.23	$1,115.23	$1,872.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,321.33	Professional		$814.12	$814.12	$1,321.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,115.23	Professional		$814.12	$1,115.23	$1,115.23
United Facility/Professional Professional Modifier Low / Median / High Price $528.53 / $754.42 / $1,110.08	Professional		$528.53	$754.42	$1,110.08