Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.64 / $419.64 / $419.64	Facility		$419.64	$419.64	$419.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.31 / $419.64 / $539.51	Professional		$415.31	$419.64	$539.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.72 / $980.88 / $1,569.40	Facility		$711.72	$980.88	$1,569.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.83 / $572.48 / $1,101.58	Professional		$425.83	$572.48	$1,101.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $553.22 / $823.94	Facility		$69.23	$553.22	$823.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $510.07 / $969.25	Professional		$66.69	$510.07	$969.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $921.85	Facility		$647.96	$647.96	$921.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $550.77 / $889.50	Professional		$473.01	$550.77	$889.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $550.77 / $647.96 / $647.96	Professional		$550.77	$647.96	$647.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.83 / $561.04 / $809.07	Professional		$448.83	$561.04	$809.07
United Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $386.03 / $579.59	Professional		$257.35	$386.03	$579.59