Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.66 / $873.66 / $1,912.00	Facility		$873.66	$873.66	$1,912.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.52 / $873.66 / $1,195.36	Professional		$851.52	$873.66	$1,195.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.12 / $1,968.19 / $5,099.39	Facility		$1,680.12	$1,968.19	$5,099.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.41 / $943.02 / $2,326.03	Professional		$896.41	$943.02	$2,326.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.06 / $1,789.26 / $2,415.50	Facility		$1,312.06	$1,789.26	$2,415.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,163.02 / $1,610.33 / $3,831.16	Professional		$1,163.02	$1,610.33	$3,831.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,997.15	Facility		$1,260.83	$1,260.83	$1,997.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,487.72	Professional		$920.41	$920.41	$1,487.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,260.83	Professional		$920.41	$1,260.83	$1,260.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.49 / $814.68 / $1,068.04	Professional		$592.49	$814.68	$1,068.04
United Facility/Professional Professional Modifier Low / Median / High Price $595.09 / $892.63 / $1,186.67	Professional		$595.09	$892.63	$1,186.67