Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.44 / $603.44 / $603.44	Facility		$603.44	$603.44	$603.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.44 / $628.47 / $806.39	Professional		$603.44	$628.47	$806.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.97 / $1,412.59 / $2,260.14	Facility		$1,024.97	$1,412.59	$2,260.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.75 / $904.89 / $1,862.59	Professional		$638.75	$904.89	$1,862.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $796.71 / $1,177.07	Facility		$98.44	$796.71	$1,177.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $750.36 / $1,395.86	Professional		$90.04	$750.36	$1,395.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $1,405.54	Facility		$542.66	$542.66	$1,405.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $461.26 / $1,327.88	Professional		$396.14	$461.26	$1,327.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.26 / $542.66 / $542.66	Professional		$461.26	$542.66	$542.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $673.25 / $841.57 / $1,213.62	Professional		$673.25	$841.57	$1,213.62
United Facility/Professional Professional Modifier Low / Median / High Price $374.11 / $561.16 / $884.77	Professional		$374.11	$561.16	$884.77