Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.93 / $943.93 / $1,957.00	Facility		$943.93	$943.93	$1,957.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.52 / $943.93 / $1,169.45	Professional		$716.52	$943.93	$1,169.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.24 / $2,126.48 / $5,509.51	Facility		$1,815.24	$2,126.48	$5,509.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $943.00 / $2,513.10	Professional		$877.62	$943.00	$2,513.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.05 / $1,933.16 / $2,609.77	Facility		$1,242.05	$1,933.16	$2,609.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.55 / $1,739.84 / $4,139.28	Professional		$1,256.55	$1,739.84	$4,139.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $1,868.16	Facility		$913.06	$913.06	$1,868.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $1,166.43	Professional		$666.53	$666.53	$1,166.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $913.06	Professional		$666.53	$913.06	$913.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $820.08 / $1,127.60 / $1,478.29	Professional		$820.08	$1,127.60	$1,478.29
United Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $964.43 / $1,234.84	Professional		$607.50	$964.43	$1,234.84