Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.11 / $649.51 / $1,268.08	Facility		$380.11	$649.51	$1,268.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.11 / $380.11 / $688.00	Professional		$380.11	$380.11	$688.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $370.90 / $603.48	Professional		$285.08	$370.90	$603.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.20 / $285.69 / $578.47	Facility		$196.20	$285.69	$578.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $216.83 / $428.42	Professional		$189.73	$216.83	$428.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.08 / $1,815.40 / $2,441.50	Facility		$606.08	$1,815.40	$2,441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.43 / $508.40 / $887.23	Professional		$370.43	$508.40	$887.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $606.08 / $1,815.40 / $2,441.50	Facility		$606.08	$1,815.40	$2,441.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $337.72 / $506.31 / $869.62	Professional		$337.72	$506.31	$869.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $289.29 / $559.56	Professional		$197.75	$289.29	$559.56
United Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $446.92 / $780.02	Professional		$274.89	$446.92	$780.02