Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.69 / $729.69 / $1,880.00	Facility		$729.69	$729.69	$1,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $729.69 / $1,004.93	Professional		$711.20	$729.69	$1,004.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.23 / $1,643.83 / $4,259.01	Facility		$1,403.23	$1,643.83	$4,259.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.82 / $801.78 / $1,942.70	Professional		$673.82	$801.78	$1,942.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.79 / $1,494.39 / $2,017.43	Facility		$1,120.79	$1,494.39	$2,017.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.61 / $1,352.22 / $3,199.79	Professional		$976.61	$1,352.22	$3,199.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,760.71	Facility		$967.10	$967.10	$1,760.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $1,235.47	Professional		$705.98	$705.98	$1,235.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $967.10	Professional		$705.98	$967.10	$967.10
United Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $745.54 / $1,026.28	Professional		$497.02	$745.54	$1,026.28