Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $1,030.40 / $3,133.20	Facility		$474.84	$1,030.40	$3,133.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.58 / $629.63	Professional		$474.83	$479.58	$629.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $764.49 / $1,187.09	Facility		$512.83	$764.49	$1,187.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $800.58	Professional		$474.84	$474.84	$800.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $474.84 / $807.23	Facility		$474.84	$474.84	$807.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $641.03	Professional		$474.84	$474.84	$641.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $447.96 / $474.84	Facility		$447.96	$447.96	$474.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $1,383.42	Professional		$474.84	$474.84	$1,383.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $481.29 / $481.29 / $1,984.78	Facility		$481.29	$481.29	$1,984.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $1,383.42	Professional		$474.84	$474.84	$1,383.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $522.32 / $614.87 / $688.66	Professional		$522.32	$614.87	$688.66
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $528.60 / $588.47	Professional		$474.84	$528.60	$588.47