Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $1,227.58 / $1,784.78	Facility		$463.58	$1,227.58	$1,784.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $463.58 / $836.53	Professional		$463.58	$463.58	$836.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.68 / $637.42 / $1,025.51	Facility		$511.68	$637.42	$1,025.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $286.17 / $625.83	Professional		$286.17	$286.17	$625.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.53 / $579.48 / $782.30	Facility		$386.53	$579.48	$782.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $492.56 / $753.32 / $782.30	Professional		$492.56	$753.32	$782.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.66 / $596.63 / $2,197.13	Facility		$376.66	$596.63	$2,197.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $465.03 / $843.43	Professional		$294.56	$465.03	$843.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $375.92 / $596.63 / $2,241.53	Facility		$375.92	$596.63	$2,241.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $376.66 / $771.97	Professional		$294.56	$376.66	$771.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $478.07 / $695.37	Professional		$434.61	$478.07	$695.37
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $347.69 / $809.76	Professional		$243.38	$347.69	$809.76