Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $787.25 / $1,283.67	Facility		$416.78	$787.25	$1,283.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $333.42 / $601.66	Professional		$204.19	$333.42	$601.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.02 / $450.12 / $737.58	Facility		$368.02	$450.12	$737.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $257.27 / $594.70	Professional		$205.82	$257.27	$594.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.13 / $479.30 / $625.16	Facility		$387.13	$479.30	$625.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.80 / $562.65 / $1,000.27	Professional		$541.80	$562.65	$1,000.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $474.09 / $2,378.59	Facility		$428.85	$474.09	$2,378.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $370.85 / $807.23	Professional		$211.84	$370.85	$807.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $525.57 / $2,378.59	Facility		$428.85	$525.57	$2,378.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $370.85 / $991.28	Professional		$211.84	$370.85	$991.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $375.10 / $515.77	Professional		$328.21	$375.10	$515.77
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $612.88	Professional		$175.05	$250.07	$612.88