Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.58 / $608.58 / $2,046.00	Facility		$608.58	$608.58	$2,046.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.79 / $608.58 / $735.01	Professional		$560.79	$608.58	$735.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.94 / $1,246.36 / $3,229.22	Facility		$1,063.94	$1,246.36	$3,229.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.74 / $616.19 / $1,472.97	Professional		$552.74	$616.19	$1,472.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.80 / $1,133.06 / $1,529.63	Facility		$849.80	$1,133.06	$1,529.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.49 / $1,019.75 / $2,426.11	Professional		$736.49	$1,019.75	$2,426.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,345.65	Facility		$732.96	$732.96	$1,345.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $942.12	Professional		$535.05	$535.05	$942.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $732.96 / $732.96	Professional		$535.05	$732.96	$732.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $660.91 / $866.45	Professional		$480.66	$660.91	$866.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.99 / $1,173.99 / $1,381.17	Facility		$1,173.99	$1,173.99	$1,381.17
United Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $540.07 / $778.64	Professional		$376.85	$540.07	$778.64