Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $1,113.65 / $1,801.49	Facility		$467.92	$1,113.65	$1,801.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $467.92 / $844.36	Professional		$467.92	$467.92	$844.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.47 / $631.69 / $1,035.09	Facility		$516.47	$631.69	$1,035.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $352.38 / $936.13	Professional		$288.83	$352.38	$936.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $731.13 / $877.35	Facility		$584.90	$731.13	$877.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.37 / $789.62 / $1,403.76	Professional		$760.37	$789.62	$1,403.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.84 / $665.33 / $3,338.07	Facility		$601.84	$665.33	$3,338.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $535.78 / $1,248.28	Professional		$297.36	$535.78	$1,248.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $601.84 / $665.33 / $3,338.07	Facility		$601.84	$665.33	$3,338.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $536.53 / $1,248.28	Professional		$297.36	$536.53	$1,248.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $460.61 / $526.41 / $723.82	Professional		$460.61	$526.41	$723.82
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $774.09	Professional		$245.66	$350.94	$774.09