Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.00 / $974.00 / $1,899.00	Facility		$359.00	$974.00	$1,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $370.50 / $746.16	Professional		$351.12	$370.50	$746.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,508.00 / $2,781.00	Facility		$513.00	$1,508.00	$2,781.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.85 / $421.78 / $700.53	Professional		$347.85	$421.78	$700.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $226.49 / $441.83	Facility		$76.94	$226.49	$441.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $244.26 / $371.85	Professional		$82.97	$244.26	$371.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.11 / $565.16 / $1,354.98	Facility		$360.11	$565.16	$1,354.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $519.69 / $983.09	Professional		$317.41	$519.69	$983.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $360.11 / $750.00 / $1,354.98	Facility		$360.11	$750.00	$1,354.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $515.00 / $943.28	Professional		$327.23	$515.00	$943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $243.97 / $416.04	Professional		$96.04	$243.97	$416.04
United Facility/Professional Professional Modifier Low / Median / High Price $345.38 / $451.20 / $803.36	Professional		$345.38	$451.20	$803.36