Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.10 / $872.05 / $1,272.18	Facility		$407.10	$872.05	$1,272.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $483.43 / $610.65	Professional		$349.85	$483.43	$610.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.33 / $549.58 / $900.55	Facility		$449.33	$549.58	$900.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $242.34 / $660.51	Professional		$203.55	$242.34	$660.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $585.20 / $763.31	Facility		$508.87	$585.20	$763.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $661.53 / $1,112.47	Professional		$508.87	$661.53	$1,112.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.61 / $578.85 / $2,904.16	Facility		$523.61	$578.85	$2,904.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $379.53 / $985.57	Professional		$232.80	$379.53	$985.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $523.61 / $578.85 / $2,904.16	Facility		$523.61	$578.85	$2,904.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $273.88 / $985.57	Professional		$232.80	$273.88	$985.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.73 / $457.98 / $629.72	Professional		$400.73	$457.98	$629.72
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $672.06	Professional		$213.73	$305.32	$672.06