Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $307.70 / $1,104.00	Facility		$307.70	$307.70	$1,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $307.70 / $327.16	Professional		$271.08	$307.70	$327.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.92 / $630.16 / $1,632.71	Facility		$537.92	$630.16	$1,632.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $302.39 / $744.74	Professional		$279.48	$302.39	$744.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.66 / $572.88 / $773.39	Facility		$429.66	$572.88	$773.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.36 / $522.50 / $1,226.65	Professional		$377.36	$522.50	$1,226.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $683.31	Facility		$347.46	$347.46	$683.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $443.88	Professional		$253.65	$253.65	$443.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $347.46	Professional		$253.65	$347.46	$347.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $334.15 / $438.08	Professional		$243.02	$334.15	$438.08
United Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $273.88 / $388.17	Professional		$190.54	$273.88	$388.17