Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.15 / $855.15 / $2,264.00	Facility		$855.15	$855.15	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.89 / $855.15 / $912.29	Professional		$746.89	$855.15	$912.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.01 / $1,751.34 / $4,537.57	Facility		$1,495.01	$1,751.34	$4,537.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $874.87 / $2,069.76	Professional		$776.68	$874.87	$2,069.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.15 / $1,592.13 / $2,149.38	Facility		$1,163.15	$1,592.13	$2,149.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,034.88 / $1,432.92 / $3,409.07	Professional		$1,034.88	$1,432.92	$3,409.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,847.35	Facility		$897.58	$897.58	$1,847.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,323.82	Professional		$655.23	$655.23	$1,323.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $897.58 / $897.58	Professional		$655.23	$897.58	$897.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $928.67 / $1,217.49	Professional		$675.40	$928.67	$1,217.49
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $529.53 / $761.14 / $1,096.64	Professional		$529.53	$761.14	$1,096.64