Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $626.63 / $2,476.17	Facility		$222.57	$626.63	$2,476.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $773.81 / $2,476.17	Professional		$315.64	$773.81	$2,476.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $590.80 / $1,546.25	Professional		$208.72	$590.80	$1,546.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.17 / $257.98 / $325.67	Facility		$177.17	$257.98	$325.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $599.33 / $1,044.92	Professional		$589.44	$599.33	$1,044.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $276.45	Professional		$276.45	$276.45	$276.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,648.87 / $1,764.34 / $1,764.34	Professional		$1,648.87	$1,764.34	$1,764.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.39 / $668.72 / $922.44	Professional		$510.39	$668.72	$922.44
United Facility/Professional Professional Modifier Low / Median / High Price $728.56 / $1,014.52 / $1,482.20	Professional		$728.56	$1,014.52	$1,482.20