Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.82 / $862.44 / $1,656.31	Facility		$650.82	$862.44	$1,656.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $628.79 / $795.58	Professional		$454.92	$628.79	$795.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.60 / $382.01 / $831.10	Professional		$263.60	$382.01	$831.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $520.19 / $864.41	Facility		$210.95	$520.19	$864.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $476.84 / $800.38	Professional		$227.49	$476.84	$800.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.58 / $791.58 / $791.58	Facility		$791.58	$791.58	$791.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $782.22 / $1,432.78	Professional		$447.58	$782.22	$1,432.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $791.58 / $791.58 / $791.58	Facility		$791.58	$791.58	$791.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $768.36 / $1,104.71	Professional		$447.58	$768.36	$1,104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.08 / $506.65 / $857.82	Professional		$192.08	$506.65	$857.82
United Facility/Professional Professional Modifier Low / Median / High Price $417.05 / $684.39 / $1,186.63	Professional		$417.05	$684.39	$1,186.63