Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $428.48 / $1,015.00	Facility		$428.48	$428.48	$1,015.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.62 / $428.48 / $590.12	Professional		$417.62	$428.48	$590.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $965.28 / $2,500.96	Facility		$824.00	$965.28	$2,500.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $476.72 / $1,153.07	Professional		$439.64	$476.72	$1,153.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.15 / $877.53 / $1,184.67	Facility		$658.15	$877.53	$1,184.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.49 / $794.06 / $1,878.97	Professional		$573.49	$794.06	$1,878.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $1,033.93	Facility		$624.54	$624.54	$1,033.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $729.64	Professional		$455.91	$455.91	$729.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $624.54	Professional		$455.91	$624.54	$624.54
United Facility/Professional Professional Modifier Low / Median / High Price $291.86 / $437.78 / $602.66	Professional		$291.86	$437.78	$602.66