Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $2,263.73 / $3,095.81	Facility		$978.91	$2,263.73	$3,095.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $978.91 / $2,721.37	Professional		$978.91	$978.91	$2,721.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $784.31 / $2,386.10	Facility		$444.65	$784.31	$2,386.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $494.05 / $1,323.57	Professional		$411.71	$494.05	$1,323.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.18 / $128.18 / $217.91	Facility		$128.18	$128.18	$217.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $128.18 / $128.18	Professional		$128.18	$128.18	$128.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,414.14	Professional		$1,040.08	$1,040.08	$1,414.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,414.14	Professional		$1,040.08	$1,040.08	$1,414.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $452.88 / $514.63 / $596.97	Professional		$452.88	$514.63	$596.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,327.65	Professional		$1,019.70	$1,019.70	$1,327.65