Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.29 / $672.29 / $2,532.00	Facility		$672.29	$672.29	$2,532.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.91 / $672.29 / $1,153.24	Professional		$634.91	$672.29	$1,153.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.84 / $1,514.52 / $3,923.99	Facility		$1,292.84	$1,514.52	$3,923.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.80 / $777.67 / $1,807.54	Professional		$689.80	$777.67	$1,807.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,028.18 / $1,376.84 / $1,858.73	Facility		$1,028.18	$1,376.84	$1,858.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $894.95 / $1,239.16 / $2,948.09	Professional		$894.95	$1,239.16	$2,948.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,606.54	Facility		$809.08	$809.08	$1,606.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $919.96	Professional		$687.72	$687.72	$919.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $809.08	Professional		$687.72	$809.08	$809.08
United Facility/Professional Professional Modifier Low / Median / High Price $457.93 / $686.89 / $995.42	Professional		$457.93	$686.89	$995.42