Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.32 / $520.32 / $1,503.00	Facility		$520.32	$520.32	$1,503.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $520.32 / $553.24	Professional		$349.91	$520.32	$553.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.65 / $1,065.60 / $2,760.91	Facility		$909.65	$1,065.60	$2,760.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.46 / $472.58 / $1,259.35	Professional		$425.46	$472.58	$1,259.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.67 / $968.74 / $1,307.80	Facility		$629.67	$968.74	$1,307.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $629.67 / $871.87 / $2,074.27	Professional		$629.67	$871.87	$2,074.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $995.70	Facility		$454.00	$454.00	$995.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $579.99	Professional		$331.42	$331.42	$579.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $454.00	Professional		$331.42	$454.00	$454.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.95 / $565.05 / $740.79	Professional		$410.95	$565.05	$740.79
United Facility/Professional Professional Modifier Low / Median / High Price $272.73 / $436.81 / $614.91	Professional		$272.73	$436.81	$614.91