Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.87 / $633.87 / $1,557.00	Facility		$633.87	$633.87	$1,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.79 / $633.87 / $872.97	Professional		$617.79	$633.87	$872.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.97 / $1,427.98 / $3,699.76	Facility		$1,218.97	$1,427.98	$3,699.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $725.04 / $1,687.60	Professional		$650.38	$725.04	$1,687.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,103.44 / $1,103.44 / $1,103.44	Professional		$1,103.44	$1,103.44	$1,103.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.62 / $1,298.16 / $1,752.52	Facility		$973.62	$1,298.16	$1,752.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $848.35 / $1,174.64 / $2,779.62	Professional		$848.35	$1,174.64	$2,779.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,529.48	Facility		$724.63	$724.63	$1,529.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $925.71	Professional		$528.98	$528.98	$925.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $724.63	Professional		$528.98	$724.63	$724.63
United Facility/Professional Professional Modifier Low / Median / High Price $431.76 / $647.63 / $917.56	Professional		$431.76	$647.63	$917.56