Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.73 / $901.82 / $1,663.31	Facility		$360.73	$901.82	$1,663.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $360.73 / $650.94	Professional		$315.32	$360.73	$650.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.15 / $486.98 / $797.98	Facility		$398.15	$486.98	$797.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $216.43 / $586.17	Professional		$153.30	$216.43	$586.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $518.54 / $676.37	Facility		$450.91	$518.54	$676.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $586.17 / $985.87	Professional		$450.91	$586.17	$985.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.96 / $600.40 / $2,573.33	Facility		$463.96	$600.40	$2,573.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $254.51 / $981.23	Professional		$206.22	$254.51	$981.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $463.96 / $600.40 / $2,573.33	Facility		$463.96	$600.40	$2,573.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $242.69 / $981.23	Professional		$206.22	$242.69	$981.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $405.81 / $557.99	Professional		$355.08	$405.81	$557.99
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $595.52	Professional		$189.38	$270.55	$595.52