Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,417.04 / $2,224.42	Facility		$796.09	$1,417.04	$2,224.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $804.05 / $1,066.59	Professional		$796.09	$804.05	$1,066.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.14 / $1,862.85 / $5,174.59	Facility		$1,194.14	$1,862.85	$5,174.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $1,313.54	Professional		$796.09	$796.09	$1,313.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.75 / $796.09 / $1,154.33	Facility		$660.75	$796.09	$1,154.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.26 / $796.09 / $835.89	Professional		$557.26	$796.09	$835.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $806.51	Facility		$751.03	$796.09	$806.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.57 / $796.09 / $968.44	Professional		$761.57	$796.09	$968.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $806.51 / $806.51	Facility		$796.09	$806.51	$806.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $761.57 / $796.09 / $948.84	Professional		$761.57	$796.09	$948.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $880.16 / $1,148.04	Professional		$796.09	$880.16	$1,148.04
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $992.91	Professional		$318.44	$796.09	$992.91