Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.14 / $1,577.44 / $2,157.26	Facility		$682.14	$1,577.44	$2,157.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $1,896.35	Professional		$682.14	$682.14	$1,896.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $221.90 / $1,662.71	Facility		$120.14	$221.90	$1,662.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $144.35 / $922.30	Professional		$119.30	$144.35	$922.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.38 / $406.38 / $724.77	Facility		$406.38	$406.38	$724.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $301.02 / $406.38	Professional		$301.02	$301.02	$406.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $852.67	Professional		$724.77	$724.77	$852.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $852.67	Professional		$724.77	$724.77	$852.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.12 / $376.27 / $436.47	Professional		$331.12	$376.27	$436.47
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $768.54	Professional		$710.56	$710.56	$768.54