Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $756.80 / $1,100.00	Facility		$352.00	$756.80	$1,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $352.00 / $635.17	Professional		$123.38	$352.00	$635.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.52 / $475.20 / $778.67	Facility		$388.52	$475.20	$778.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $212.96 / $704.22	Professional		$176.00	$212.96	$704.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $572.00 / $726.00	Facility		$440.00	$572.00	$726.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $594.00 / $1,056.00	Professional		$572.00	$594.00	$1,056.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $453.02 / $2,511.08	Facility		$294.58	$453.02	$2,511.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $225.06 / $852.15	Professional		$81.50	$225.06	$852.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $453.02 / $2,511.08	Facility		$294.58	$453.02	$2,511.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $224.77 / $852.15	Professional		$81.50	$224.77	$852.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $396.00 / $544.50	Professional		$346.50	$396.00	$544.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $264.00 / $641.08	Professional		$74.20	$264.00	$641.08