Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $807.80 / $1,476.31	Facility		$386.88	$807.80	$1,476.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.50 / $582.27 / $656.14	Professional		$309.50	$582.27	$656.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,681.00 / $3,681.00 / $3,681.00	Facility		$3,681.00	$3,681.00	$3,681.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.32 / $659.63 / $1,122.64	Professional		$417.32	$659.63	$1,122.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.20 / $371.66 / $454.80	Facility		$306.20	$371.66	$454.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $395.79 / $672.02	Professional		$306.20	$395.79	$672.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $675.09 / $1,088.57	Professional		$542.79	$675.09	$1,088.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $892.94 / $1,883.53 / $3,340.29	Facility		$892.94	$1,883.53	$3,340.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,315.91 / $2,194.37	Professional		$1,100.00	$1,315.91	$2,194.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $499.80 / $658.59	Professional		$307.14	$499.80	$658.59
United Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $404.30 / $700.09	Professional		$298.58	$404.30	$700.09