Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $1,543.65 / $2,368.83	Facility		$569.09	$1,543.65	$2,368.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $576.20 / $728.44	Professional		$569.09	$576.20	$728.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $942.56 / $1,570.93	Facility		$0.03	$942.56	$1,570.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $717.59 / $1,038.69	Professional		$628.37	$717.59	$1,038.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.02 / $372.47 / $614.58	Facility		$361.02	$372.47	$614.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.47 / $372.47 / $372.47	Professional		$372.47	$372.47	$372.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $628.37	Facility		$471.24	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $800.54	Professional		$628.37	$628.37	$800.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Facility		$628.37	$628.37	$628.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $889.20	Professional		$628.37	$628.37	$889.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $722.62 / $906.17	Professional		$628.37	$722.62	$906.17
United Facility/Professional Professional Modifier Low / Median / High Price $577.86 / $592.79 / $705.43	Professional		$577.86	$592.79	$705.43