Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $1,124.45 / $1,725.54	Facility		$799.00	$1,124.45	$1,725.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $430.09 / $1,295.45	Professional		$414.54	$430.09	$1,295.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.82 / $457.73 / $726.18	Professional		$431.82	$457.73	$726.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.94 / $617.94 / $1,050.50	Facility		$617.94	$617.94	$1,050.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $617.94	Professional		$457.73	$457.73	$617.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $692.99	Professional		$457.73	$457.73	$692.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $692.99	Professional		$457.73	$457.73	$692.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $572.16 / $663.70	Professional		$503.50	$572.16	$663.70
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $560.46	Professional		$518.17	$518.17	$560.46