Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $1,211.85 / $13,517.76	Facility		$558.46	$1,211.85	$13,517.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $564.15 / $1,422.45	Professional		$558.46	$564.15	$1,422.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.14 / $899.12 / $1,396.15	Facility		$603.14	$899.12	$1,396.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $967.02	Professional		$558.46	$558.46	$967.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $558.46 / $949.38	Facility		$558.46	$558.46	$949.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $753.92	Professional		$558.46	$558.46	$753.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $558.46	Facility		$526.85	$526.85	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $838.75	Professional		$558.46	$558.46	$838.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $542.22 / $558.46	Facility		$526.85	$542.22	$558.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $838.75	Professional		$558.46	$558.46	$838.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $614.30 / $698.20 / $809.76	Professional		$614.30	$698.20	$809.76
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $776.87	Professional		$558.46	$558.46	$776.87