Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.64 / $704.48 / $1,224.50	Facility		$492.64	$704.48	$1,224.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $492.64 / $613.40	Professional		$279.77	$492.64	$613.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $1,156.25 / $1,319.79	Facility		$1,092.06	$1,156.25	$1,319.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $139.44 / $569.64	Professional		$61.00	$139.44	$569.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $40.26 / $93.94	Facility		$24.24	$40.26	$93.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $43.42 / $77.61	Professional		$26.15	$43.42	$77.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $1,044.38 / $2,056.44	Facility		$87.09	$1,044.38	$2,056.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $91.19 / $156.69	Professional		$60.20	$91.19	$156.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $1,007.60 / $2,336.48	Facility		$87.09	$1,007.60	$2,336.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $88.54 / $151.05	Professional		$61.88	$88.54	$151.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.44 / $58.06	Professional		$31.00	$40.44	$58.06
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $508.51 / $966.17	Professional		$74.36	$508.51	$966.17