Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.67 / $530.67 / $1,530.00	Facility		$530.67	$530.67	$1,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $530.67 / $608.00	Professional		$464.45	$530.67	$608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.76 / $1,086.83 / $2,815.89	Facility		$927.76	$1,086.83	$2,815.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.98 / $516.87 / $1,284.43	Professional		$481.98	$516.87	$1,284.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.02 / $988.03 / $1,333.84	Facility		$741.02	$988.03	$1,333.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.69 / $894.03 / $2,115.57	Professional		$645.69	$894.03	$2,115.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $1,164.10	Facility		$551.53	$551.53	$1,164.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $660.16	Professional		$402.62	$402.62	$660.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $551.53	Professional		$402.62	$551.53	$551.53
United Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $463.98 / $663.46	Professional		$318.47	$463.98	$663.46