Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $710.00 / $1,899.00	Facility		$323.83	$710.00	$1,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $384.39 / $716.13	Professional		$358.96	$384.39	$716.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.22 / $1,508.00 / $2,781.00	Facility		$368.22	$1,508.00	$2,781.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $466.61 / $834.95	Professional		$420.75	$466.61	$834.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $280.74 / $717.38	Facility		$45.44	$280.74	$717.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $302.76 / $531.29	Professional		$49.01	$302.76	$531.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.27 / $404.04 / $700.00	Facility		$402.27	$404.04	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $516.84 / $910.76	Professional		$334.07	$516.84	$910.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $402.27 / $646.98 / $2,033.68	Facility		$402.27	$646.98	$2,033.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $340.20 / $502.35 / $890.03	Professional		$340.20	$502.35	$890.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $151.70 / $606.78	Professional		$82.10	$151.70	$606.78
United Facility/Professional Professional Modifier Low / Median / High Price $355.27 / $459.15 / $825.80	Professional		$355.27	$459.15	$825.80