Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $389.95 / $2,302.00	Facility		$389.95	$389.95	$2,302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.95 / $394.74 / $616.84	Professional		$389.95	$394.74	$616.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.35 / $586.60 / $1,168.86	Professional		$518.35	$586.60	$1,168.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $73.03 / $729.00	Facility		$54.77	$73.03	$729.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $73.03 / $729.00	Professional		$48.70	$73.03	$729.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $627.91	Facility		$356.59	$356.59	$627.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $303.10 / $862.50	Professional		$303.10	$303.10	$862.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $484.57	Facility		$356.59	$356.59	$484.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $356.59 / $356.59	Professional		$303.10	$356.59	$356.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $89.10 / $594.00	Professional		$40.50	$89.10	$594.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $384.25 / $583.62	Professional		$245.26	$384.25	$583.62