Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.24 / $366.24 / $1,171.00	Facility		$366.24	$366.24	$1,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $366.24 / $419.60	Professional		$320.52	$366.24	$419.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.28 / $750.06 / $1,943.33	Facility		$640.28	$750.06	$1,943.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $363.95 / $900.06	Professional		$332.64	$363.95	$900.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.40 / $681.87 / $920.52	Facility		$511.40	$681.87	$920.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.62 / $617.01 / $1,460.02	Professional		$445.62	$617.01	$1,460.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $803.40	Facility		$380.63	$380.63	$803.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $380.63	Professional		$277.86	$380.63	$380.63
United Facility/Professional Professional Modifier Low / Median / High Price $226.79 / $329.22 / $468.29	Professional		$226.79	$329.22	$468.29