Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $840.00 / $3,280.00	Facility		$840.00	$840.00	$3,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.15 / $840.00 / $968.97	Professional		$764.15	$840.00	$968.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.93 / $1,207.61 / $1,941.02	Facility		$1,029.93	$1,207.61	$1,941.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.03 / $737.13 / $2,100.00	Professional		$567.03	$737.13	$2,100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.04 / $1,131.79 / $1,527.92	Facility		$808.04	$1,131.79	$1,527.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.66 / $1,018.61 / $2,423.39	Professional		$735.66	$1,018.61	$2,423.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $941.06	Professional		$517.14	$517.14	$941.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $517.14	Professional		$517.14	$517.14	$517.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $754.34 / $988.94	Professional		$548.61	$754.34	$988.94
United Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $541.07 / $820.23	Professional		$376.42	$541.07	$820.23