Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,016.79 / $4,259.00	Facility		$900.00	$1,016.79	$4,259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.02 / $1,016.79 / $1,400.35	Professional		$991.02	$1,016.79	$1,400.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,955.35 / $2,290.62 / $5,934.78	Facility		$1,955.35	$2,290.62	$5,934.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.28 / $1,125.59 / $2,707.09	Professional		$1,043.28	$1,125.59	$2,707.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.79 / $2,082.38 / $2,811.21	Facility		$1,561.79	$2,082.38	$2,811.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,360.87 / $1,884.28 / $4,458.79	Professional		$1,360.87	$1,884.28	$4,458.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,453.48	Facility		$1,162.68	$1,162.68	$2,453.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,162.68	Professional		$988.28	$988.28	$1,162.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $1,162.68	Professional		$988.28	$1,162.68	$1,162.68
United Facility/Professional Professional Modifier Low / Median / High Price $618.86 / $1,029.60 / $1,430.46	Professional		$618.86	$1,029.60	$1,430.46