Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $476.27 / $476.27	Facility		$476.27	$476.27	$476.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.27 / $492.44 / $640.58	Professional		$476.27	$492.44	$640.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.26 / $1,108.40 / $1,773.44	Facility		$804.26	$1,108.40	$1,773.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $608.09 / $1,247.89	Professional		$481.19	$608.09	$1,247.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $665.03 / $923.20	Facility		$79.79	$665.03	$923.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $588.15 / $1,095.26	Professional		$75.36	$588.15	$1,095.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $1,067.25	Facility		$369.39	$369.39	$1,067.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $313.98 / $1,046.63	Professional		$269.64	$313.98	$1,046.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $369.39 / $369.39	Professional		$313.98	$369.39	$369.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $507.19 / $633.99 / $914.27	Professional		$507.19	$633.99	$914.27
United Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $438.43 / $638.02	Professional		$292.80	$438.43	$638.02