Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,248.83 / $1,916.41	Facility		$575.50	$1,248.83	$1,916.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.25 / $776.13	Professional		$575.50	$581.25	$776.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.54 / $986.98 / $1,640.18	Facility		$621.54	$986.98	$1,640.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $656.07 / $970.29	Professional		$575.50	$656.07	$970.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $864.98	Facility		$575.50	$575.50	$864.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $776.93	Professional		$575.50	$575.50	$776.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $708.35	Facility		$542.92	$575.50	$708.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $801.90	Professional		$575.50	$575.50	$801.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $848.95 / $1,738.81	Facility		$575.50	$848.95	$1,738.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $814.39	Professional		$575.50	$575.50	$814.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $606.35 / $696.16 / $848.89	Professional		$606.35	$696.16	$848.89
United Facility/Professional Professional Modifier Low / Median / High Price $529.46 / $575.50 / $679.09	Professional		$529.46	$575.50	$679.09