Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.61 / $797.08 / $1,219.76	Facility		$379.61	$797.08	$1,219.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $321.70 / $580.51	Professional		$321.70	$321.70	$580.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.07 / $434.29 / $711.63	Facility		$355.07	$434.29	$711.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $238.29 / $579.04	Professional		$198.58	$238.29	$579.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $522.76 / $663.50	Facility		$402.12	$522.76	$663.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $542.86 / $965.09	Professional		$522.76	$542.86	$965.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.76 / $457.42 / $2,294.92	Facility		$413.76	$457.42	$2,294.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $309.18 / $972.60	Professional		$204.41	$309.18	$972.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $413.76 / $507.08 / $2,294.92	Facility		$413.76	$507.08	$2,294.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $253.19 / $972.60	Professional		$204.41	$253.19	$972.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $361.90 / $497.62	Professional		$316.66	$361.90	$497.62
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $241.27 / $588.10	Professional		$168.89	$241.27	$588.10