Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.66 / $393.66 / $679.00	Facility		$393.66	$393.66	$679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $393.66 / $518.76	Professional		$342.50	$393.66	$518.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.03 / $886.83 / $2,297.69	Facility		$757.03	$886.83	$2,297.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.28 / $436.54 / $1,048.07	Professional		$393.28	$436.54	$1,048.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.25 / $806.21 / $1,088.38	Facility		$563.25	$806.21	$1,088.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $725.59 / $1,726.26	Professional		$524.04	$725.59	$1,726.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $880.08	Facility		$418.79	$418.79	$880.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $535.00	Professional		$305.72	$305.72	$535.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $418.79	Professional		$305.72	$418.79	$418.79
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $402.20 / $515.23	Professional		$268.14	$402.20	$515.23