Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.72 / $431.72 / $1,448.00	Facility		$431.72	$431.72	$1,448.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.35 / $431.72 / $538.33	Professional		$341.35	$431.72	$538.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.75 / $884.16 / $2,290.77	Facility		$754.75	$884.16	$2,290.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $392.12 / $1,044.91	Professional		$375.02	$392.12	$1,044.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.37 / $803.78 / $1,085.09	Facility		$541.37	$803.78	$1,085.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $522.46 / $723.40 / $1,721.05	Professional		$522.46	$723.40	$1,721.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $833.53	Facility		$400.16	$400.16	$833.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $511.20	Professional		$292.12	$292.12	$511.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $400.16	Professional		$292.12	$400.16	$400.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.99 / $468.86 / $614.68	Professional		$340.99	$468.86	$614.68
United Facility/Professional Facility Modifier Low / Median / High Price $725.80 / $725.80 / $853.88	Facility		$725.80	$725.80	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $362.43 / $510.21	Professional		$240.40	$362.43	$510.21