Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $731.69 / $3,311.68	Facility		$371.69	$731.69	$3,311.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.69 / $371.69 / $1,162.40	Professional		$371.69	$371.69	$1,162.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,953.51 / $3,127.10 / $3,569.39	Facility		$2,953.51	$3,127.10	$3,569.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $240.62 / $480.24	Professional		$177.12	$240.62	$480.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $326.36 / $524.58	Facility		$33.90	$326.36	$524.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $351.96 / $388.51	Professional		$36.54	$351.96	$388.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.34 / $4,196.45 / $4,594.42	Facility		$1,037.34	$4,196.45	$4,594.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $506.32 / $907.92	Professional		$328.34	$506.32	$907.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,037.34 / $4,196.45 / $4,594.42	Facility		$1,037.34	$4,196.45	$4,594.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $496.73 / $898.69	Professional		$353.19	$496.73	$898.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $407.29 / $590.80	Professional		$42.05	$407.29	$590.80
United Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $462.67 / $923.62	Professional		$258.61	$462.67	$923.62