Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.70 / $994.70 / $2,110.00	Facility		$994.70	$994.70	$2,110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.49 / $994.70 / $1,369.91	Professional		$969.49	$994.70	$1,369.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.87 / $2,240.85 / $5,805.85	Facility		$1,912.87	$2,240.85	$5,805.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.61 / $1,111.77 / $2,648.28	Professional		$1,020.61	$1,111.77	$2,648.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,527.86 / $2,037.14 / $2,750.14	Facility		$1,527.86	$2,037.14	$2,750.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,331.31 / $1,843.35 / $4,361.92	Professional		$1,331.31	$1,843.35	$4,361.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,400.19	Facility		$1,317.79	$1,317.79	$2,400.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,361.15	Professional		$961.99	$961.99	$1,361.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,317.79	Facility		$1,317.79	$1,317.79	$1,317.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $1,317.79	Professional		$961.99	$1,317.79	$1,317.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $864.17 / $1,188.24 / $1,557.78	Professional		$864.17	$1,188.24	$1,557.78
United Facility/Professional Professional Modifier Low / Median / High Price $677.54 / $1,016.30 / $1,399.02	Professional		$677.54	$1,016.30	$1,399.02