Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $1,163.58 / $1,823.84	Facility		$541.20	$1,163.58	$1,823.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $541.20 / $976.60	Professional		$198.02	$541.20	$976.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.35 / $730.62 / $1,197.20	Facility		$597.35	$730.62	$1,197.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $136.91 / $878.09	Professional		$113.15	$136.91	$878.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $777.98 / $1,014.75	Facility		$676.50	$777.98	$1,014.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $879.45 / $1,478.81	Professional		$676.50	$879.45	$1,478.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.75 / $696.53 / $2,616.67	Facility		$603.75	$696.53	$2,616.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $592.80 / $1,310.74	Professional		$308.08	$592.80	$1,310.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $603.75 / $696.53 / $3,860.83	Facility		$603.75	$696.53	$3,860.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $363.95 / $1,310.74	Professional		$308.08	$363.95	$1,310.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $532.74 / $608.85 / $837.17	Professional		$532.74	$608.85	$837.17
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $707.20	Professional		$118.81	$169.73	$707.20