Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $670.41 / $1,041.34	Facility		$340.31	$670.41	$1,041.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $343.72 / $452.90	Professional		$340.31	$343.72	$452.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.53 / $547.90 / $850.78	Facility		$367.53	$547.90	$850.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $646.58	Professional		$340.31	$340.31	$646.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $340.31 / $511.50	Facility		$340.31	$340.31	$511.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $340.31 / $391.36	Professional		$289.26	$340.31	$391.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $328.91 / $340.31	Facility		$321.05	$328.91	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $340.31 / $433.08	Professional		$328.91	$340.31	$433.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $328.91 / $340.31	Facility		$328.91	$328.91	$340.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $340.31 / $517.50	Professional		$328.91	$340.31	$517.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.04 / $374.34 / $490.76	Professional		$340.04	$374.34	$490.76
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $368.08	Professional		$136.12	$340.31	$368.08