Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.43 / $403.43 / $403.43	Facility		$403.43	$403.43	$403.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.61 / $403.43 / $529.03	Professional		$394.61	$403.43	$529.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $938.88 / $1,502.20	Facility		$681.25	$938.88	$1,502.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.94 / $457.00 / $955.01	Professional		$456.94	$457.00	$955.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $529.54 / $751.10	Facility		$63.84	$529.54	$751.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $488.22 / $799.09	Professional		$56.33	$488.22	$799.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $880.20	Facility		$461.38	$461.38	$880.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $392.17 / $1,088.44	Professional		$392.17	$392.17	$1,088.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Professional		$461.38	$461.38	$461.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $429.61 / $537.02 / $774.43	Professional		$429.61	$537.02	$774.43
United Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $352.72 / $479.90	Professional		$215.91	$352.72	$479.90