Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $452.05 / $452.05	Facility		$452.05	$452.05	$452.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.17 / $452.05 / $592.79	Professional		$442.17	$452.05	$592.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.35 / $1,052.03 / $1,683.24	Facility		$763.35	$1,052.03	$1,683.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.58 / $593.84 / $1,093.72	Professional		$590.58	$593.84	$1,093.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $631.22 / $841.62	Facility		$84.16	$631.22	$841.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $568.10 / $1,351.57	Professional		$75.73	$568.10	$1,351.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $986.28	Facility		$516.79	$516.79	$986.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $516.79 / $975.75	Professional		$439.27	$516.79	$975.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $603.02	Facility		$516.79	$516.79	$603.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Professional		$516.79	$516.79	$516.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.06 / $474.10 / $658.47	Professional		$316.06	$474.10	$658.47
United Facility/Professional Professional Modifier Low / Median / High Price $279.92 / $419.88 / $609.95	Professional		$279.92	$419.88	$609.95