Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.82 / $592.82 / $1,855.00	Facility		$592.82	$592.82	$1,855.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.82 / $592.82 / $679.18	Professional		$518.82	$592.82	$679.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,036.40 / $1,214.09 / $3,145.63	Facility		$1,036.40	$1,214.09	$3,145.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.29 / $876.82 / $1,681.40	Professional		$659.29	$876.82	$1,681.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $827.80 / $1,103.73 / $1,490.04	Facility		$827.80	$1,103.73	$1,490.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $721.31 / $998.74 / $2,363.31	Professional		$721.31	$998.74	$2,363.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,300.44	Facility		$616.27	$616.27	$1,300.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $787.28	Professional		$449.88	$449.88	$787.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $616.27	Professional		$449.88	$616.27	$616.27
United Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $533.03 / $783.48	Professional		$367.09	$533.03	$783.48