Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.37 / $811.37 / $1,492.00	Facility		$811.37	$811.37	$1,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.68 / $811.37 / $1,146.55	Professional		$782.68	$811.37	$1,146.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.33 / $1,827.86 / $4,735.82	Facility		$1,560.33	$1,827.86	$4,735.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.89 / $890.78 / $2,160.19	Professional		$790.89	$890.78	$2,160.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.32 / $1,417.46 / $2,160.19	Facility		$600.32	$1,417.46	$2,160.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $1,341.82 / $2,683.64	Professional		$565.00	$1,341.82	$2,683.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,909.00	Facility		$926.75	$926.75	$1,909.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,381.66	Professional		$787.74	$787.74	$1,381.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $926.75 / $926.75	Professional		$787.74	$926.75	$926.75
United Facility/Professional Professional Modifier Low / Median / High Price $552.66 / $829.00 / $1,140.19	Professional		$552.66	$829.00	$1,140.19