Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.23 / $1,612.15 / $4,466.88	Facility		$691.23	$1,612.15	$4,466.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.23 / $836.47 / $1,032.19	Professional		$691.23	$836.47	$1,032.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $343.54 / $343.54	Professional		$343.54	$343.54	$343.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.28 / $1,096.28 / $1,339.90	Facility		$1,096.28	$1,096.28	$1,339.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $797.35 / $1,365.61 / $2,273.30	Facility		$797.35	$1,365.61	$2,273.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00