Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $770.64 / $1,053.90	Facility		$333.25	$770.64	$1,053.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $926.44	Professional		$333.25	$333.25	$926.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $551.94 / $919.90	Facility		$0.03	$551.94	$919.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $588.73	Professional		$367.96	$367.96	$588.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.86 / $140.86 / $193.43	Facility		$140.86	$140.86	$193.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $140.86 / $140.86	Professional		$140.86	$140.86	$140.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $557.10	Professional		$367.96	$367.96	$557.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $557.10	Professional		$367.96	$367.96	$557.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.75 / $459.95 / $533.54	Professional		$404.75	$459.95	$533.54
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $497.37	Professional		$357.54	$357.54	$497.37