Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $850.84 / $1,094.96	Facility		$393.87	$850.84	$1,094.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $403.85 / $550.00	Professional		$392.09	$403.85	$550.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.46 / $654.79 / $1,117.46	Facility		$423.46	$654.79	$1,117.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $646.94	Professional		$392.09	$392.09	$646.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $589.29	Facility		$392.09	$392.09	$589.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $392.09 / $450.90	Professional		$333.28	$392.09	$450.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $401.08	Facility		$369.90	$392.09	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $502.31	Professional		$392.09	$392.09	$502.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $335.08 / $395.26 / $482.60	Facility		$335.08	$395.26	$482.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $471.86	Professional		$392.09	$392.09	$471.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $393.87 / $433.85 / $568.53	Professional		$393.87	$433.85	$568.53
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $424.67	Professional		$156.84	$392.09	$424.67