Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $978.50 / $1,338.17	Facility		$423.14	$978.50	$1,338.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $1,176.33	Professional		$423.14	$423.14	$1,176.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $640.38 / $1,067.30	Facility		$0.03	$640.38	$1,067.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $440.77 / $677.30	Professional		$426.92	$440.77	$677.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $359.80	Facility		$218.06	$218.06	$359.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Professional		$218.06	$218.06	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $707.36	Professional		$426.92	$426.92	$707.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $707.36	Professional		$426.92	$426.92	$707.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $533.65 / $619.03	Professional		$469.61	$533.65	$619.03
United Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $588.79 / $647.67	Professional		$527.91	$588.79	$647.67