Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.65 / $954.65 / $3,331.00	Facility		$954.65	$954.65	$3,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.95 / $954.65 / $1,015.04	Professional		$714.95	$954.65	$1,015.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,668.97 / $1,955.13 / $5,065.56	Facility		$1,668.97	$1,955.13	$5,065.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $904.15 / $2,310.60	Professional		$867.00	$904.15	$2,310.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.83 / $1,777.39 / $2,399.48	Facility		$1,261.83	$1,777.39	$2,399.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,155.30 / $1,599.65 / $3,805.75	Professional		$1,155.30	$1,599.65	$3,805.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,983.01	Facility		$1,149.77	$1,149.77	$1,983.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,468.83	Professional		$839.33	$839.33	$1,468.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $1,149.77	Professional		$839.33	$1,149.77	$1,149.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $753.99 / $1,036.73 / $1,359.16	Professional		$753.99	$1,036.73	$1,359.16
United Facility/Professional Professional Modifier Low / Median / High Price $557.26 / $822.23 / $1,128.22	Professional		$557.26	$822.23	$1,128.22