Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $1,075.33 / $298,551.15	Facility		$495.55	$1,075.33	$298,551.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $1,238.88	Professional		$495.55	$500.50	$1,238.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $865.48 / $1,422.23	Facility		$535.19	$865.48	$1,422.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $858.09	Professional		$495.55	$495.55	$858.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $842.44	Facility		$495.55	$495.55	$842.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $668.99	Professional		$495.55	$495.55	$668.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $733.38	Professional		$495.55	$495.55	$733.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $733.38	Professional		$495.55	$495.55	$733.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $543.87 / $619.43 / $716.92	Professional		$543.87	$619.43	$716.92
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $535.99	Professional		$495.55	$495.55	$535.99