Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $1,099.60 / $1,801.49	Facility		$467.92	$1,099.60	$1,801.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $479.62 / $845.65	Professional		$467.92	$479.62	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.39 / $1,434.35 / $2,307.60	Facility		$1,151.39	$1,434.35	$2,307.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $1,303.95	Professional		$288.83	$288.83	$1,303.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $1,369.15 / $1,955.93	Facility		$977.96	$1,369.15	$1,955.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,108.35 / $1,695.14 / $3,129.48	Professional		$1,108.35	$1,695.14	$3,129.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.44 / $602.22 / $2,217.76	Facility		$382.44	$602.22	$2,217.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $526.33 / $1,781.76	Professional		$297.36	$526.33	$1,781.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.22 / $2,261.78	Facility		$380.19	$602.22	$2,261.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $380.19 / $1,414.20	Professional		$297.36	$380.19	$1,414.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $1,124.65 / $1,564.73	Professional		$977.96	$1,124.65	$1,564.73
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $433.26 / $1,043.16	Professional		$245.66	$433.26	$1,043.16