Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.89 / $675.89 / $1,466.00	Facility		$675.89	$675.89	$1,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.39 / $675.89 / $827.89	Professional		$603.39	$675.89	$827.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.78 / $1,522.64 / $3,945.03	Facility		$1,299.78	$1,522.64	$3,945.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.63 / $686.95 / $1,799.48	Professional		$669.63	$686.95	$1,799.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,176.58 / $1,176.58 / $1,176.58	Professional		$1,176.58	$1,176.58	$1,176.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $969.46 / $1,384.22 / $1,868.70	Facility		$969.46	$1,384.22	$1,868.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.74 / $1,245.80 / $2,963.89	Professional		$899.74	$1,245.80	$2,963.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,428.89	Facility		$895.43	$895.43	$1,428.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $1,143.91	Professional		$653.66	$653.66	$1,143.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $895.43	Facility		$895.43	$895.43	$895.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $895.43	Professional		$653.66	$895.43	$895.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $587.19 / $807.38 / $1,058.48	Professional		$587.19	$807.38	$1,058.48
United Facility/Professional Professional Modifier Low / Median / High Price $460.38 / $690.57 / $878.66	Professional		$460.38	$690.57	$878.66