Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.93 / $710.65 / $1,326.84	Facility		$478.93	$710.65	$1,326.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.85 / $765.25 / $1,326.84	Professional		$674.85	$765.25	$1,326.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $453.95 / $762.93	Professional		$344.52	$453.95	$762.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.07 / $379.07 / $551.97	Facility		$379.07	$379.07	$551.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.79 / $408.79 / $440.37	Professional		$408.79	$408.79	$440.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $762.89 / $762.89 / $764.28	Professional		$762.89	$762.89	$764.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $432.75 / $571.23	Professional		$331.98	$432.75	$571.23
United Facility/Professional Professional Modifier Low / Median / High Price $404.84 / $537.16 / $938.10	Professional		$404.84	$537.16	$938.10