Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $537.91 / $537.91	Facility		$537.91	$537.91	$537.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $537.91 / $705.40	Professional		$526.16	$537.91	$705.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.35 / $1,251.85 / $2,002.98	Facility		$908.35	$1,251.85	$2,002.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.20 / $609.26 / $1,273.34	Professional		$609.20	$609.26	$1,273.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $706.03 / $1,001.49	Facility		$85.12	$706.03	$1,001.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $650.97 / $1,065.49	Professional		$75.11	$650.97	$1,065.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $1,173.61	Facility		$615.17	$615.17	$1,173.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $1,161.00	Professional		$522.90	$615.17	$1,161.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Professional		$615.17	$615.17	$615.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $572.82 / $716.03 / $1,032.58	Professional		$572.82	$716.03	$1,032.58
United Facility/Professional Professional Modifier Low / Median / High Price $283.13 / $460.08 / $639.87	Professional		$283.13	$460.08	$639.87