Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.30 / $396.30 / $1,021.00	Facility		$396.30	$396.30	$1,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $396.30 / $545.80	Professional		$386.26	$396.30	$545.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.11 / $892.78 / $2,313.12	Facility		$762.11	$892.78	$2,313.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $435.47 / $1,055.09	Professional		$365.96	$435.47	$1,055.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $811.62 / $1,095.69	Facility		$608.72	$811.62	$1,095.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.41 / $734.41 / $1,737.84	Professional		$530.41	$734.41	$1,737.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $956.26	Facility		$525.23	$525.23	$956.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $670.98	Professional		$383.42	$383.42	$670.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $525.23	Professional		$383.42	$525.23	$525.23
United Facility/Professional Professional Modifier Low / Median / High Price $269.94 / $404.90 / $557.40	Professional		$269.94	$404.90	$557.40