Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $865.85 / $1,550.47	Facility		$503.40	$865.85	$1,550.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.31 / $773.00 / $1,208.16	Professional		$342.31	$773.00	$1,208.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $28.88 / $369.49	Professional		$24.54	$28.88	$369.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $654.41 / $13,411.71	Facility		$427.89	$654.41	$13,411.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $1,100.45 / $13,927.55	Professional		$526.15	$1,100.45	$13,927.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $518.29 / $1,947.34	Facility		$327.20	$518.29	$1,947.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $578.20 / $722.75	Professional		$327.20	$578.20	$722.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $518.29 / $1,947.34	Facility		$327.20	$518.29	$1,947.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Professional		$327.20	$327.20	$327.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $453.06	Facility		$181.22	$181.22	$453.06
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $659.45	Professional		$211.43	$302.04	$659.45