Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $384.95 / $1,634.10	Facility		$138.47	$384.95	$1,634.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $138.47 / $536.09	Professional		$138.28	$138.47	$536.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.25 / $570.54 / $905.16	Professional		$538.25	$570.54	$905.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.31 / $132.31 / $218.31	Facility		$132.31	$132.31	$218.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $132.31 / $132.31	Professional		$132.31	$132.31	$132.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $863.80	Professional		$570.54	$570.54	$863.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $863.80	Professional		$570.54	$570.54	$863.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $627.59 / $713.17 / $827.28	Professional		$627.59	$713.17	$827.28
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $898.50	Professional		$645.89	$645.89	$898.50