Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.98 / $552.75 / $1,240.13	Facility		$282.98	$552.75	$1,240.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.23 / $282.98 / $874.14	Professional		$281.23	$282.98	$874.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.01 / $1,171.01 / $1,336.64	Facility		$1,106.01	$1,171.01	$1,336.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $188.26 / $363.21	Professional		$126.52	$188.26	$363.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $246.67 / $399.61	Facility		$27.77	$246.67	$399.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $266.01 / $295.95	Professional		$29.94	$266.01	$295.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.83 / $1,597.37 / $1,720.49	Facility		$821.83	$1,597.37	$1,720.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.13 / $375.61 / $717.11	Professional		$244.13	$375.61	$717.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $821.83 / $1,597.37 / $1,720.49	Facility		$821.83	$1,597.37	$1,720.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $361.41 / $681.57	Professional		$243.99	$361.41	$681.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $299.85 / $441.66	Professional		$42.05	$299.85	$441.66
United Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $348.24 / $662.40	Professional		$195.00	$348.24	$662.40