Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.44 / $498.44 / $867.00	Facility		$498.44	$498.44	$867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.36 / $498.44 / $689.61	Professional		$467.36	$498.44	$689.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.52 / $1,122.86 / $2,909.25	Facility		$958.52	$1,122.86	$2,909.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.87 / $511.43 / $1,347.44	Professional		$490.87	$511.43	$1,347.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.83 / $1,071.83 / $59,499.41	Facility		$714.83	$1,071.83	$59,499.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.51 / $918.71 / $2,185.71	Professional		$663.51	$918.71	$2,185.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $982.55	Facility		$510.69	$510.69	$982.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $682.08	Professional		$434.09	$434.09	$682.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $510.69	Professional		$434.09	$510.69	$510.69
United Facility/Professional Professional Modifier Low / Median / High Price $339.51 / $509.27 / $647.97	Professional		$339.51	$509.27	$647.97