Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.63 / $394.63 / $1,381.00	Facility		$394.63	$394.63	$1,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $483.18 / $800.94	Professional		$394.63	$483.18	$800.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.05 / $764.10 / $1,522.75	Professional		$560.05	$764.10	$1,522.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $75.81 / $844.56	Facility		$55.43	$75.81	$844.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $77.59 / $844.56	Professional		$54.90	$77.59	$844.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $707.81	Facility		$545.00	$545.00	$707.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $545.00 / $866.25	Professional		$463.25	$545.00	$866.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $707.81	Facility		$545.00	$545.00	$707.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $545.00 / $545.00	Professional		$463.25	$545.00	$545.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $103.22 / $688.16	Professional		$46.92	$103.22	$688.16
United Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $475.73 / $752.19	Professional		$317.16	$475.73	$752.19