Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $804.96 / $1,441.44	Facility		$374.40	$804.96	$1,441.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $374.40 / $1,500.00	Professional		$327.60	$374.40	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.24 / $505.44 / $828.22	Facility		$413.24	$505.44	$828.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $243.36 / $699.77	Professional		$187.20	$243.36	$699.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.93 / $538.20 / $702.00	Facility		$434.93	$538.20	$702.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $631.79 / $1,123.20	Professional		$608.40	$631.79	$1,123.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $532.35 / $2,670.88	Facility		$481.55	$532.35	$2,670.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $346.95 / $906.46	Professional		$213.48	$346.95	$906.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $532.35 / $2,670.88	Facility		$481.55	$532.35	$2,670.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $273.77 / $906.46	Professional		$213.48	$273.77	$906.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.55 / $421.20 / $579.15	Professional		$368.55	$421.20	$579.15
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $618.09	Professional		$196.56	$280.80	$618.09