Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.69 / $497.69 / $1,516.00	Facility		$497.69	$497.69	$1,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $497.69 / $643.83	Professional		$425.35	$497.69	$643.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.09 / $1,019.27 / $2,640.84	Facility		$870.09	$1,019.27	$2,640.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $505.33 / $1,217.56	Professional		$452.00	$505.33	$1,217.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.41 / $926.61 / $1,250.92	Facility		$662.41	$926.61	$1,250.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.29 / $833.95 / $1,984.06	Professional		$602.29	$833.95	$1,984.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,106.08	Facility		$524.34	$524.34	$1,106.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $669.84	Professional		$382.77	$382.77	$669.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $524.34	Professional		$382.77	$524.34	$524.34
United Facility/Professional Professional Modifier Low / Median / High Price $308.18 / $447.85 / $640.62	Professional		$308.18	$447.85	$640.62