Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.55 / $414.55 / $898.00	Facility		$414.55	$414.55	$898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.13 / $414.55 / $541.55	Professional		$322.13	$414.55	$541.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.21 / $933.90 / $2,419.65	Facility		$797.21	$933.90	$2,419.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $425.36 / $1,103.70	Professional		$386.94	$425.36	$1,103.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.85 / $849.00 / $1,146.15	Facility		$551.85	$849.00	$1,146.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.85 / $764.10 / $1,817.88	Professional		$551.85	$764.10	$1,817.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $885.10	Facility		$402.56	$402.56	$885.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $514.27	Professional		$293.87	$293.87	$514.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $402.56	Professional		$293.87	$402.56	$402.56
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $423.56 / $538.91	Professional		$267.83	$423.56	$538.91