Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $875.38 / $1,294.04	Facility		$422.89	$875.38	$1,294.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.62 / $422.89 / $524.19	Professional		$413.62	$422.89	$524.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.72 / $725.26 / $1,205.24	Facility		$456.72	$725.26	$1,205.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $477.86 / $724.02	Professional		$422.89	$477.86	$724.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $638.55	Facility		$422.89	$422.89	$638.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $486.32	Professional		$422.89	$422.89	$486.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $422.89 / $575.80	Facility		$398.96	$422.89	$575.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $598.42	Professional		$422.89	$422.89	$598.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $515.83 / $575.80 / $703.90	Facility		$515.83	$575.80	$703.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $703.90	Professional		$422.89	$422.89	$703.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $470.94 / $590.56	Professional		$409.52	$470.94	$590.56
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $524.09	Professional		$422.89	$422.89	$524.09