Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.14 / $916.48 / $1,351.89	Facility		$351.14	$916.48	$1,351.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $351.14 / $782.37	Professional		$351.14	$351.14	$782.37
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 $216.76 / $231.06 / $1,063.14	Professional		$216.76	$231.06	$1,063.14
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 $288.49 / $451.92 / $1,664.30	Facility		$288.49	$451.92	$1,664.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $384.50 / $1,781.76	Professional		$223.06	$384.50	$1,781.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $285.30 / $451.92 / $1,697.70	Facility		$285.30	$451.92	$1,697.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $285.30 / $1,061.24	Professional		$223.06	$285.30	$1,061.24
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 $184.35 / $285.30 / $799.29	Professional		$184.35	$285.30	$799.29