Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $1,174.00 / $1,691.25	Facility		$541.20	$1,174.00	$1,691.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $575.03 / $976.60	Professional		$541.20	$575.03	$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 $282.81 / $367.65 / $1,082.74	Professional		$282.81	$367.65	$1,082.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $879.45 / $1,116.23	Facility		$676.50	$879.45	$1,116.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.45 / $913.28 / $1,623.60	Professional		$879.45	$913.28	$1,623.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.09 / $769.53 / $3,860.83	Facility		$696.09	$769.53	$3,860.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $440.33 / $1,472.24	Professional		$309.58	$440.33	$1,472.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $696.09 / $853.08 / $3,860.83	Facility		$696.09	$853.08	$3,860.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $363.95 / $1,472.24	Professional		$309.58	$363.95	$1,472.24
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 $284.13 / $405.90 / $893.45	Professional		$284.13	$405.90	$893.45