Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.37 / $1,065.00 / $1,414.80	Facility		$447.37	$1,065.00	$1,414.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.37 / $447.37 / $1,243.69	Professional		$447.37	$447.37	$1,243.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $740.96 / $1,234.93	Facility		$0.03	$740.96	$1,234.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.97 / $493.97 / $772.61	Professional		$493.97	$493.97	$772.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.02 / $104.02 / $171.63	Facility		$104.02	$104.02	$171.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $104.02 / $104.02	Professional		$104.02	$104.02	$104.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $747.87	Professional		$475.33	$475.33	$747.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $747.87	Professional		$475.33	$475.33	$747.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $543.36 / $617.46 / $716.25	Professional		$543.36	$617.46	$716.25
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $648.27	Professional		$466.01	$466.01	$648.27