Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.26 / $869.26 / $2,048.00	Facility		$869.26	$869.26	$2,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $869.26 / $1,364.63	Professional		$755.88	$869.26	$1,364.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,671.64 / $1,958.25 / $5,073.66	Facility		$1,671.64	$1,958.25	$5,073.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.91 / $994.30 / $2,314.29	Professional		$891.91	$994.30	$2,314.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.15 / $1,780.23 / $2,403.31	Facility		$1,157.15	$1,780.23	$2,403.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,157.15 / $1,602.21 / $3,811.83	Professional		$1,157.15	$1,602.21	$3,811.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $2,030.10	Facility		$963.22	$963.22	$2,030.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $1,230.51	Professional		$703.15	$703.15	$1,230.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $963.23	Professional		$703.15	$963.22	$963.23
United Facility/Professional Professional Modifier Low / Median / High Price $592.09 / $888.14 / $1,185.07	Professional		$592.09	$888.14	$1,185.07