Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $827.55 / $1,182.35	Facility		$381.36	$827.55	$1,182.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $953.40	Professional		$381.36	$385.17	$953.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.87 / $613.99 / $1,086.88	Facility		$411.87	$613.99	$1,086.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $724.58	Professional		$381.36	$381.36	$724.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $381.36 / $648.30	Facility		$381.36	$381.36	$648.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $514.84	Professional		$381.36	$381.36	$514.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $359.77 / $381.36	Facility		$359.77	$359.77	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $586.11	Professional		$381.36	$381.36	$586.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $359.77 / $381.36	Facility		$359.77	$359.77	$381.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $586.11	Professional		$381.36	$381.36	$586.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.19 / $476.70 / $551.26	Professional		$418.19	$476.70	$551.26
United Facility/Professional Facility Modifier Low / Median / High Price $456.72 / $456.72 / $456.72	Facility		$456.72	$456.72	$456.72
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $412.48	Professional		$381.36	$381.36	$412.48