Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.63 / $394.63 / $1,727.00	Facility		$394.63	$394.63	$1,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $488.46 / $814.73	Professional		$394.63	$488.46	$814.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $775.60 / $1,545.75	Professional		$617.41	$775.60	$1,545.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $75.97 / $949.32	Facility		$56.98	$75.97	$949.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $85.44 / $854.39	Professional		$55.43	$85.44	$854.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $749.21	Facility		$552.13	$552.13	$749.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $552.13 / $866.25	Professional		$469.31	$552.13	$866.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $749.21	Facility		$552.13	$552.13	$749.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $552.13 / $552.13	Professional		$469.31	$552.13	$552.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $116.02 / $773.52	Professional		$52.74	$116.02	$773.52
United Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $490.69 / $779.85	Professional		$325.24	$490.69	$779.85