Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.16 / $677.16 / $2,101.00	Facility		$677.16	$677.16	$2,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.65 / $677.16 / $775.83	Professional		$592.65	$677.16	$775.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.83 / $1,386.83 / $3,593.14	Facility		$1,183.83	$1,386.83	$3,593.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $685.64 / $1,638.97	Professional		$615.04	$685.64	$1,638.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.64 / $1,071.64 / $1,071.64	Professional		$1,071.64	$1,071.64	$1,071.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.56 / $1,260.75 / $1,702.01	Facility		$945.56	$1,260.75	$1,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $823.95 / $1,140.84 / $2,699.52	Professional		$823.95	$1,140.84	$2,699.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $1,485.48	Facility		$741.89	$741.89	$1,485.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $947.76	Professional		$541.58	$541.58	$947.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $741.89	Professional		$541.58	$741.89	$741.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $606.38 / $833.77 / $1,093.08	Professional		$606.38	$833.77	$1,093.08
United Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $598.53 / $846.59	Professional		$419.32	$598.53	$846.59