Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $712.50 / $1,093.36	Facility		$328.34	$712.50	$1,093.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $328.34 / $403.79	Professional		$305.95	$328.34	$403.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.61 / $563.10 / $935.77	Facility		$354.61	$563.10	$935.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $373.97 / $562.15	Professional		$328.34	$373.97	$562.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $495.79	Facility		$328.34	$328.34	$495.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $443.26	Professional		$328.34	$328.34	$443.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $467.71	Facility		$309.75	$328.34	$467.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $499.50	Professional		$328.34	$328.34	$499.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $752.25	Facility		$309.75	$328.34	$752.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $578.09	Professional		$328.34	$328.34	$578.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $361.17 / $426.84	Professional		$302.92	$361.17	$426.84
United Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $328.34 / $406.91	Professional		$327.72	$328.34	$406.91