Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.63 / $1,212.00 / $2,040.83	Facility		$395.63	$1,212.00	$2,040.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $387.87 / $748.76	Professional		$370.50	$387.87	$748.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,599.00 / $2,781.00	Facility		$513.00	$1,599.00	$2,781.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.70 / $500.09 / $901.89	Professional		$407.70	$500.09	$901.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $216.54 / $505.65	Facility		$130.72	$216.54	$505.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $233.52 / $374.48	Professional		$140.97	$233.52	$374.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.29 / $529.21 / $1,354.98	Facility		$423.29	$529.21	$1,354.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.51 / $578.44 / $1,178.56	Professional		$361.51	$578.44	$1,178.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $423.29 / $700.00 / $1,354.98	Facility		$423.29	$700.00	$1,354.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $555.29 / $1,188.86	Professional		$363.54	$555.29	$1,188.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $249.93 / $465.63	Professional		$133.24	$249.93	$465.63
United Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $538.09 / $982.81	Professional		$383.76	$538.09	$982.81