Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.24 / $782.24 / $2,100.00	Facility		$782.24	$782.24	$2,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $782.24 / $1,238.20	Professional		$689.74	$782.24	$1,238.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.31 / $1,762.23 / $4,565.79	Facility		$1,504.31	$1,762.23	$4,565.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.63 / $839.51 / $2,082.63	Professional		$802.63	$839.51	$2,082.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.75 / $1,602.03 / $2,162.73	Facility		$1,071.75	$1,602.03	$2,162.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.32 / $1,441.83 / $3,430.27	Professional		$1,041.32	$1,441.83	$3,430.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,747.08	Facility		$1,036.33	$1,036.33	$1,747.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,323.92	Professional		$756.53	$756.53	$1,323.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,036.33	Professional		$756.53	$1,036.33	$1,036.33
United Facility/Professional Professional Modifier Low / Median / High Price $532.82 / $799.24 / $1,056.42	Professional		$532.82	$799.24	$1,056.42