Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $517.01 / $1,380.24	Facility		$461.62	$517.01	$1,380.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $869.32	Professional		$461.62	$461.62	$869.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.78 / $837.83 / $1,375.81	Facility		$488.78	$837.83	$1,375.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $791.53	Professional		$452.57	$452.57	$791.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $138.79 / $235.94	Facility		$138.79	$138.79	$235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $138.79 / $138.79	Professional		$138.79	$138.79	$138.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $797.51	Professional		$506.88	$506.88	$797.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $402.01 / $402.01 / $402.01	Facility		$402.01	$402.01	$402.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $797.51	Professional		$506.88	$506.88	$797.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $527.69 / $599.65 / $671.60	Professional		$527.69	$599.65	$671.60
United Facility/Professional Professional Modifier Low / Median / High Price $429.94 / $543.08 / $635.86	Professional		$429.94	$543.08	$635.86