Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.53 / $989.53 / $2,886.00	Facility		$989.53	$989.53	$2,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.98 / $989.53 / $1,133.65	Professional		$865.98	$989.53	$1,133.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,729.94 / $2,026.55 / $5,250.61	Facility		$1,729.94	$2,026.55	$5,250.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.74 / $1,002.36 / $2,395.01	Professional		$898.74	$1,002.36	$2,395.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,381.74 / $1,842.32 / $2,487.13	Facility		$1,381.74	$1,842.32	$2,487.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.98 / $1,667.05 / $3,944.78	Professional		$1,203.98	$1,667.05	$3,944.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $2,170.64	Facility		$1,191.78	$1,191.78	$2,170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,230.98	Professional		$870.00	$870.00	$1,230.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,191.78 / $1,191.78	Professional		$870.00	$1,191.78	$1,191.78
United Facility/Professional Professional Modifier Low / Median / High Price $612.74 / $878.14 / $1,237.08	Professional		$612.74	$878.14	$1,237.08