Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.38 / $775.38 / $1,966.00	Facility		$775.38	$775.38	$1,966.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.73 / $775.38 / $1,067.84	Professional		$755.73	$775.38	$1,067.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.11 / $1,746.78 / $4,525.74	Facility		$1,491.11	$1,746.78	$4,525.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.66 / $861.42 / $2,064.37	Professional		$774.66	$861.42	$2,064.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,190.99 / $1,587.98 / $2,143.77	Facility		$1,190.99	$1,587.98	$2,143.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $1,436.92 / $3,400.18	Professional		$1,037.78	$1,436.92	$3,400.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,870.99	Facility		$886.63	$886.63	$1,870.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $1,132.67	Professional		$647.24	$647.24	$1,132.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $886.63	Professional		$647.24	$886.63	$886.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $823.36 / $1,132.13 / $1,484.22	Professional		$823.36	$1,132.13	$1,484.22
United Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $792.23 / $1,090.83	Professional		$528.15	$792.23	$1,090.83