Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.97 / $975.97 / $2,612.00	Facility		$975.97	$975.97	$2,612.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $975.97 / $1,436.77	Professional		$902.57	$975.97	$1,436.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,876.85 / $2,198.66 / $5,696.52	Facility		$1,876.85	$2,198.66	$5,696.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.07 / $1,105.51 / $2,598.41	Professional		$975.07	$1,105.51	$2,598.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.48 / $1,998.78 / $2,698.35	Facility		$1,380.48	$1,998.78	$2,698.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,299.21 / $1,798.90 / $4,279.79	Professional		$1,299.21	$1,798.90	$4,279.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,432.32	Facility		$1,408.48	$1,408.48	$2,432.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,661.95	Professional		$1,028.19	$1,028.19	$1,661.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $1,408.48	Professional		$1,028.19	$1,408.48	$1,408.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $847.91 / $1,165.87 / $1,528.46	Professional		$847.91	$1,165.87	$1,528.46
United Facility/Professional Professional Modifier Low / Median / High Price $664.78 / $997.17 / $1,415.04	Professional		$664.78	$997.17	$1,415.04