Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $407.28 / $2,611.00	Facility		$407.28	$407.28	$2,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $467.82 / $791.01	Professional		$407.28	$467.82	$791.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.19 / $838.99 / $2,173.75	Facility		$716.19	$838.99	$2,173.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $820.96 / $1,462.70	Professional		$733.00	$820.96	$1,462.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $763.72 / $1,067.81	Facility		$572.04	$763.72	$1,067.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $762.72 / $1,633.14	Professional		$533.90	$762.72	$1,633.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $1,046.78	Facility		$854.15	$854.15	$1,046.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $1,021.13	Professional		$623.53	$623.53	$1,021.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $854.15 / $854.15	Professional		$623.53	$854.15	$854.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $1,089.00 / $1,427.67	Professional		$792.00	$1,089.00	$1,427.67
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $733.00 / $988.78	Professional		$444.95	$733.00	$988.78