Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.93 / $1,012.51 / $1,472.10	Facility		$390.93	$1,012.51	$1,472.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $390.93 / $705.43	Professional		$390.93	$390.93	$705.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.49 / $527.75 / $864.78	Facility		$431.49	$527.75	$864.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $301.63 / $713.44	Professional		$241.31	$301.63	$713.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $610.83 / $732.99	Facility		$488.66	$610.83	$732.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $635.26 / $659.69 / $1,172.78	Professional		$635.26	$659.69	$1,172.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.81 / $616.20 / $2,788.79	Facility		$502.81	$616.20	$2,788.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $439.65 / $946.68	Professional		$248.33	$439.65	$946.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $502.81 / $616.20 / $2,788.79	Facility		$502.81	$616.20	$2,788.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $439.65 / $1,158.05	Professional		$248.33	$439.65	$1,158.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $439.80 / $604.72	Professional		$384.82	$439.80	$604.72
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $293.20 / $711.98	Professional		$205.24	$293.20	$711.98