Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.63 / $394.63 / $1,625.00	Facility		$394.63	$394.63	$1,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $501.12 / $840.49	Professional		$394.63	$501.12	$840.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.54 / $821.60 / $1,637.62	Professional		$608.54	$821.60	$1,637.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $78.27 / $1,204.20	Facility		$56.86	$78.27	$1,204.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $102.36 / $1,023.57	Professional		$55.43	$102.36	$1,023.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $774.81	Facility		$568.02	$568.02	$774.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $866.25	Professional		$482.82	$568.02	$866.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $774.81	Facility		$568.02	$568.02	$774.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $695.55	Professional		$482.82	$568.02	$695.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $147.18 / $981.20	Professional		$66.90	$147.18	$981.20
United Facility/Professional Professional Modifier Low / Median / High Price $341.12 / $516.02 / $817.51	Professional		$341.12	$516.02	$817.51