Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $454.75 / $3,311.68	Facility		$227.41	$454.75	$3,311.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.41 / $227.41 / $706.74	Professional		$227.41	$227.41	$706.74
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 $204.51 / $258.61 / $409.46	Professional		$204.51	$258.61	$409.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $197.08 / $321.14	Facility		$23.47	$197.08	$321.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $212.53 / $279.16	Professional		$25.31	$212.53	$279.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.43 / $4,196.45 / $4,594.42	Facility		$813.43	$4,196.45	$4,594.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $345.96 / $621.04	Professional		$227.03	$345.96	$621.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $813.43 / $4,196.45 / $4,594.42	Facility		$813.43	$4,196.45	$4,594.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $318.22 / $621.04	Professional		$237.75	$318.22	$621.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $265.92 / $391.53	Professional		$42.05	$265.92	$391.53
United Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $314.70 / $541.03	Professional		$188.66	$314.70	$541.03