Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.01 / $780.01 / $1,975.00	Facility		$780.01	$780.01	$1,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.24 / $780.01 / $1,074.24	Professional		$760.24	$780.01	$1,074.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.01 / $1,757.20 / $4,552.72	Facility		$1,500.01	$1,757.20	$4,552.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.30 / $857.10 / $2,076.67	Professional		$720.30	$857.10	$2,076.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.08 / $1,597.45 / $2,156.56	Facility		$1,198.08	$1,597.45	$2,156.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,445.54 / $3,420.46	Professional		$1,044.00	$1,445.54	$3,420.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,882.21	Facility		$891.71	$891.71	$1,882.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $1,139.16	Professional		$650.95	$650.95	$1,139.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $891.71	Professional		$650.95	$891.71	$891.71
United Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $796.95 / $1,097.08	Professional		$531.29	$796.95	$1,097.08