Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.48 / $1,103.98 / $1,604.63	Facility		$513.48	$1,103.98	$1,604.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.11 / $513.48 / $926.58	Professional		$287.11	$513.48	$926.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.75 / $693.20 / $1,135.88	Facility		$566.75	$693.20	$1,135.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $333.76 / $1,027.28	Professional		$256.74	$333.76	$1,027.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $738.13 / $962.78	Facility		$641.85	$738.13	$962.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $834.41 / $1,403.14	Professional		$641.85	$834.41	$1,403.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.94 / $660.84 / $3,663.02	Facility		$475.94	$660.84	$3,663.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $345.35 / $1,243.70	Professional		$132.75	$345.35	$1,243.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $475.94 / $660.84 / $3,663.02	Facility		$475.94	$660.84	$3,663.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $335.40 / $1,243.70	Professional		$132.75	$335.40	$1,243.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $505.45 / $577.66 / $794.29	Professional		$505.45	$577.66	$794.29
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $320.93 / $935.18	Professional		$120.89	$320.93	$935.18