Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $852.01 / $1,307.46	Facility		$392.63	$852.01	$1,307.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $497.70	Professional		$388.83	$392.63	$497.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.04 / $673.36 / $1,119.00	Facility		$424.04	$673.36	$1,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $439.74 / $653.72	Professional		$392.63	$439.74	$653.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $590.27	Facility		$392.63	$392.63	$590.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $530.04	Professional		$392.63	$392.63	$530.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $374.16 / $392.63	Facility		$370.40	$374.16	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $481.53	Professional		$392.63	$392.63	$481.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $489.12	Facility		$370.40	$392.63	$489.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $555.61	Professional		$392.63	$392.63	$555.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $447.15 / $541.96	Professional		$388.83	$447.15	$541.96
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $392.63 / $467.23	Professional		$388.77	$392.63	$467.23