Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.29 / $1,157.23 / $2,414.90	Facility		$641.29	$1,157.23	$2,414.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.29 / $641.29 / $801.62	Professional		$641.29	$641.29	$801.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.83 / $881.78 / $1,418.63	Facility		$707.83	$881.78	$1,418.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $320.64 / $784.88	Professional		$245.20	$320.64	$784.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.17 / $801.62 / $1,082.19	Facility		$467.17	$801.62	$1,082.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $681.38 / $1,042.10 / $1,082.19	Professional		$681.38	$1,042.10	$1,082.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $824.82 / $2,735.51	Facility		$394.73	$824.82	$2,735.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $367.58 / $1,053.96	Professional		$155.49	$367.58	$1,053.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $825.34 / $3,099.81	Facility		$394.73	$825.34	$3,099.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $366.71 / $521.04	Professional		$153.46	$366.71	$521.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $661.34 / $961.95	Professional		$601.22	$661.34	$961.95
United Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $400.81 / $961.94	Professional		$194.80	$400.81	$961.94