Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.63 / $649.63 / $2,061.00	Facility		$649.63	$649.63	$2,061.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.51 / $649.63 / $744.24	Professional		$568.51	$649.63	$744.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.71 / $1,330.44 / $3,447.05	Facility		$1,135.71	$1,330.44	$3,447.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.03 / $657.04 / $1,572.33	Professional		$590.03	$657.04	$1,572.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.12 / $1,209.49 / $1,632.81	Facility		$907.12	$1,209.49	$1,632.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.43 / $1,094.45 / $2,589.76	Professional		$790.43	$1,094.45	$2,589.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $1,425.06	Facility		$782.41	$782.41	$1,425.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $999.53	Professional		$571.16	$571.16	$999.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $782.41 / $782.41	Professional		$571.16	$782.41	$782.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $581.72 / $799.86 / $1,048.62	Professional		$581.72	$799.86	$1,048.62
United Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $576.63 / $824.86	Professional		$402.27	$576.63	$824.86