Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.20 / $1,008.00 / $1,552.32	Facility		$403.20	$1,008.00	$1,552.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.80 / $403.20 / $727.57	Professional		$352.80	$403.20	$727.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.03 / $554.40 / $891.93	Facility		$445.03	$554.40	$891.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $800.00	Professional		$201.60	$201.60	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.87 / $529.20 / $756.00	Facility		$382.87	$529.20	$756.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $655.20 / $1,209.59	Professional		$428.40	$655.20	$1,209.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $518.91 / $1,719.90	Facility		$327.60	$518.91	$1,719.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $327.60 / $976.18	Professional		$230.66	$327.60	$976.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $518.91 / $1,948.69	Facility		$327.60	$518.91	$1,948.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $271.14 / $976.18	Professional		$229.55	$271.14	$976.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $434.70 / $604.79	Professional		$378.00	$434.70	$604.79
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $302.39 / $812.95	Professional		$211.68	$302.39	$812.95