Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.83 / $834.83 / $1,879.00	Facility		$834.83	$834.83	$1,879.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $834.83 / $1,047.72	Professional		$698.82	$834.83	$1,047.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.43 / $1,880.69 / $4,872.70	Facility		$1,605.43	$1,880.69	$4,872.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.19 / $856.57 / $2,222.63	Professional		$829.19	$856.57	$2,222.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.95 / $1,709.72 / $2,308.12	Facility		$1,176.95	$1,709.72	$2,308.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.32 / $1,538.75 / $3,660.85	Professional		$1,111.32	$1,538.75	$3,660.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,784.86	Facility		$1,105.99	$1,105.99	$1,784.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,412.90	Professional		$807.37	$807.37	$1,412.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,105.99	Professional		$807.37	$1,105.99	$1,105.99
United Facility/Professional Professional Modifier Low / Median / High Price $568.64 / $852.96 / $1,092.11	Professional		$568.64	$852.96	$1,092.11