Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $1,339.32 / $1,991.04	Facility		$478.33	$1,339.32	$1,991.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $478.33 / $597.91	Professional		$448.43	$478.33	$597.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.95 / $657.70 / $1,058.11	Facility		$527.95	$657.70	$1,058.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $800.00	Professional		$239.16	$239.16	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $627.80 / $896.87	Facility		$449.93	$627.80	$896.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $777.28 / $1,434.98	Professional		$508.22	$777.28	$1,434.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $615.61 / $2,040.36	Facility		$388.64	$615.61	$2,040.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $410.94 / $1,158.55	Professional		$273.58	$410.94	$1,158.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $615.61 / $2,313.08	Facility		$388.64	$615.61	$2,313.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $388.64 / $1,158.55	Professional		$273.58	$388.64	$1,158.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $515.69 / $717.48	Professional		$448.43	$515.69	$717.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $298.95 / $783.26	Professional		$37.19	$298.95	$783.26