Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $488.10 / $488.10	Facility		$488.10	$488.10	$488.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.92 / $488.10 / $829.66	Professional		$461.92	$488.10	$829.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.07 / $1,142.59 / $1,828.16	Facility		$829.07	$1,142.59	$1,828.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.39 / $691.50 / $1,188.30	Professional		$691.39	$691.50	$1,188.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $685.56 / $1,136.49	Facility		$85.25	$685.56	$1,136.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $660.39 / $1,193.31	Professional		$77.70	$660.39	$1,193.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $1,144.45	Facility		$581.42	$581.42	$1,144.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $1,038.38	Professional		$494.22	$581.42	$1,038.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Professional		$581.42	$581.42	$763.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $650.04 / $812.56 / $1,171.79	Professional		$650.04	$812.56	$1,171.79
United Facility/Professional Professional Modifier Low / Median / High Price $317.94 / $476.91 / $725.24	Professional		$317.94	$476.91	$725.24