Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.53 / $989.53 / $3,043.00	Facility		$989.53	$989.53	$3,043.00
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 $1,028.38 / $1,028.38 / $2,170.64	Facility		$1,028.38	$1,028.38	$2,170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,230.98	Professional		$750.72	$750.72	$1,230.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,028.38	Facility		$1,028.38	$1,028.38	$1,028.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $1,028.38 / $1,028.38	Professional		$750.72	$1,028.38	$1,028.38
United Facility/Professional Professional Modifier Low / Median / High Price $612.74 / $878.35 / $1,237.08	Professional		$612.74	$878.35	$1,237.08