Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.21 / $436.21 / $436.21	Facility		$436.21	$436.21	$436.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.21 / $439.80 / $806.30	Professional		$436.21	$439.80	$806.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.80 / $934.13 / $1,494.60	Facility		$677.80	$934.13	$1,494.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.46 / $728.08 / $1,235.94	Professional		$716.46	$728.08	$1,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $87.65 / $730.93	Facility		$61.38	$87.65	$730.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $87.65 / $981.87	Professional		$61.27	$87.65	$981.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $1,038.75	Facility		$407.96	$407.96	$1,038.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $933.75	Professional		$346.77	$407.96	$933.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $590.76	Facility		$407.96	$407.96	$590.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $407.96	Professional		$346.77	$407.96	$407.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $770.09 / $1,069.57	Professional		$513.39	$770.09	$1,069.57
United Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $391.99 / $685.25	Professional		$241.22	$391.99	$685.25