Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.26 / $947.26 / $2,322.00	Facility		$947.26	$947.26	$2,322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.26 / $947.26 / $1,311.02	Professional		$923.26	$947.26	$1,311.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,821.65 / $2,133.98 / $5,528.97	Facility		$1,821.65	$2,133.98	$5,528.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.94 / $1,165.17 / $2,560.78	Professional		$971.94	$1,165.17	$2,560.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.99 / $1,939.99 / $2,618.98	Facility		$1,454.99	$1,939.99	$2,618.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.99 / $1,939.99 / $4,153.91	Professional		$1,260.99	$1,939.99	$4,153.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $2,287.83	Facility		$1,254.96	$1,254.96	$2,287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,603.21	Professional		$916.12	$916.12	$1,603.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $1,254.96	Professional		$916.12	$1,254.96	$1,254.96
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $967.84 / $1,491.41	Professional		$645.22	$967.84	$1,491.41