Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.22 / $372.22 / $1,067.00	Facility		$372.22	$372.22	$1,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.75 / $372.22 / $426.43	Professional		$325.75	$372.22	$426.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.73 / $762.30 / $1,975.05	Facility		$650.73	$762.30	$1,975.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.07 / $375.93 / $900.90	Professional		$338.07	$375.93	$900.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $693.00 / $935.55	Facility		$519.75	$693.00	$935.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $627.10 / $1,483.85	Professional		$452.91	$627.10	$1,483.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $816.54	Facility		$386.84	$386.84	$816.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $494.19	Professional		$282.39	$282.39	$494.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.83 / $386.84	Professional		$282.39	$386.83	$386.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $470.77 / $617.19	Professional		$342.38	$470.77	$617.19
United Facility/Professional Professional Modifier Low / Median / High Price $230.49 / $334.59 / $465.34	Professional		$230.49	$334.59	$465.34