Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $1,043.07 / $1,536.92	Facility		$399.20	$1,043.07	$1,536.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $399.20 / $1,000.00	Professional		$399.20	$399.20	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $538.91 / $883.08	Facility		$440.62	$538.91	$883.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $259.48 / $1,282.95	Professional		$199.60	$259.48	$1,282.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $648.70 / $823.35	Facility		$499.00	$648.70	$823.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.70 / $673.65 / $1,197.59	Professional		$648.70	$673.65	$1,197.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.33 / $629.24 / $2,847.79	Facility		$445.33	$629.24	$2,847.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $437.29 / $1,330.43	Professional		$228.35	$437.29	$1,330.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $445.33 / $629.24 / $2,847.79	Facility		$445.33	$629.24	$2,847.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $449.07 / $1,086.33	Professional		$228.35	$449.07	$1,086.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $449.10 / $617.51	Professional		$392.96	$449.10	$617.51
United Facility/Professional Facility Modifier Low / Median / High Price $598.79 / $598.79 / $598.79	Facility		$598.79	$598.79	$598.79
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $659.03	Professional		$209.58	$299.39	$659.03