Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,488.62 / $2,133.17	Facility		$686.00	$1,488.62	$2,133.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $686.00 / $870.21	Professional		$685.91	$686.00	$870.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.88 / $1,176.49 / $1,955.10	Facility		$740.88	$1,176.49	$1,955.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $768.32 / $1,156.58	Professional		$686.00	$768.32	$1,156.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $1,031.27	Facility		$686.00	$686.00	$1,031.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $926.10	Professional		$686.00	$686.00	$926.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $664.68 / $686.00	Facility		$647.16	$664.68	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $830.48	Professional		$686.00	$686.00	$830.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $686.00 / $995.55	Facility		$642.29	$686.00	$995.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $970.76	Professional		$686.00	$686.00	$970.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $706.01 / $754.50 / $754.60	Professional		$706.01	$754.50	$754.60
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $816.34	Professional		$686.00	$686.00	$816.34