Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.16 / $713.16 / $2,611.00	Facility		$713.16	$713.16	$2,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.17 / $713.16 / $901.03	Professional		$657.17	$713.16	$901.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.78 / $1,460.55 / $3,784.14	Facility		$1,246.78	$1,460.55	$3,784.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $770.32 / $1,744.68	Professional		$647.72	$770.32	$1,744.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $995.83 / $1,327.77 / $1,792.49	Facility		$995.83	$1,327.77	$1,792.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.05 / $1,194.99 / $2,843.02	Professional		$863.05	$1,194.99	$2,843.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,722.17	Facility		$830.86	$830.86	$1,722.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $1,061.42	Professional		$606.53	$606.53	$1,061.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $830.86	Professional		$606.53	$830.86	$830.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $774.46 / $1,015.32	Professional		$563.24	$774.46	$1,015.32
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $656.50 / $962.26	Professional		$441.60	$656.50	$962.26