Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.20 / $851.20 / $1,628.00	Facility		$851.20	$851.20	$1,628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.22 / $851.20 / $1,209.57	Professional		$798.22	$851.20	$1,209.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.91 / $1,917.58 / $4,968.26	Facility		$1,636.91	$1,917.58	$4,968.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.26 / $873.37 / $2,266.21	Professional		$860.26	$873.37	$2,266.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.47 / $1,743.25 / $2,353.39	Facility		$1,217.47	$1,743.25	$2,353.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,133.10 / $1,568.93 / $3,732.65	Professional		$1,133.10	$1,568.93	$3,732.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,866.36	Facility		$895.00	$895.00	$1,866.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $1,143.35	Professional		$653.35	$653.35	$1,143.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $895.00	Professional		$653.35	$895.00	$895.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,016.81 / $1,333.04	Professional		$739.50	$1,016.81	$1,333.04
United Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $869.69 / $1,263.36	Professional		$579.79	$869.69	$1,263.36