Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.48 / $1,044.61 / $1,730.42	Facility		$513.48	$1,044.61	$1,730.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.30 / $513.48 / $926.58	Professional		$449.30	$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 / $310.64 / $890.24	Professional		$256.74	$310.64	$890.24
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 $572.82 / $660.84 / $3,663.02	Facility		$572.82	$660.84	$3,663.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $491.17 / $1,243.70	Professional		$292.93	$491.17	$1,243.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $572.82 / $660.84 / $4,327.24	Facility		$572.82	$660.84	$4,327.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $359.44 / $1,243.70	Professional		$292.93	$359.44	$1,243.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $529.52 / $698.01	Professional		$60.00	$529.52	$698.01
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $385.11 / $847.69	Professional		$269.58	$385.11	$847.69