Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $947.38 / $1,911.83	Facility		$414.62	$947.38	$1,911.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $414.62 / $621.92	Professional		$362.80	$414.62	$621.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.64 / $559.74 / $917.20	Facility		$457.64	$559.74	$917.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $250.84 / $718.85	Professional		$207.31	$250.84	$718.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $596.02 / $777.42	Facility		$518.28	$596.02	$777.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $673.76 / $1,132.97	Professional		$518.28	$673.76	$1,132.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.54 / $533.62 / $2,957.81	Facility		$462.54	$533.62	$2,957.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $396.63 / $1,004.34	Professional		$236.54	$396.63	$1,004.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $462.54 / $533.62 / $3,494.15	Facility		$462.54	$533.62	$3,494.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $290.24 / $1,004.34	Professional		$236.54	$290.24	$1,004.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $427.58 / $563.62	Professional		$60.00	$427.58	$563.62
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $310.97 / $755.13	Professional		$217.68	$310.97	$755.13