Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $816.13 / $1,116.10	Facility		$352.92	$816.13	$1,116.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $981.12	Professional		$352.92	$352.92	$981.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.45 / $860.25 / $2,389.60	Facility		$551.45	$860.25	$2,389.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.50 / $477.18	Professional		$11.25	$13.50	$477.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.19 / $10.52	Facility		$6.19	$6.19	$10.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Professional		$6.19	$6.19	$6.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $441.15	Professional		$374.98	$374.98	$441.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $441.15	Professional		$374.98	$374.98	$441.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $71.22 / $75.49	Professional		$49.85	$71.22	$75.49
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $481.60	Professional		$367.63	$367.63	$481.60