Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.19 / $755.19 / $2,137.00	Facility		$755.19	$755.19	$2,137.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.91 / $755.19 / $865.19	Professional		$660.91	$755.19	$865.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,320.26 / $1,546.63 / $4,007.19	Facility		$1,320.26	$1,546.63	$4,007.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.90 / $735.52 / $1,827.83	Professional		$685.90	$735.52	$1,827.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,054.52 / $1,406.03 / $1,898.14	Facility		$1,054.52	$1,406.03	$1,898.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $918.86 / $1,272.27 / $3,010.59	Professional		$918.86	$1,272.27	$3,010.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,656.60	Facility		$907.46	$907.46	$1,656.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $1,153.33	Professional		$662.45	$907.46	$1,153.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $907.46	Professional		$662.45	$907.46	$907.46
United Facility/Professional Professional Modifier Low / Median / High Price $424.34 / $660.28 / $942.98	Professional		$424.34	$660.28	$942.98