Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.94 / $723.94 / $2,000.00	Facility		$723.94	$723.94	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.98 / $723.94 / $812.36	Professional		$572.98	$723.94	$812.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.63 / $1,482.64 / $3,841.37	Facility		$1,265.63	$1,482.64	$3,841.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.52 / $694.89 / $1,752.20	Professional		$657.52	$694.89	$1,752.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.30 / $1,347.85 / $1,819.60	Facility		$892.30	$1,347.85	$1,819.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.10 / $1,213.07 / $2,886.02	Professional		$876.10	$1,213.07	$2,886.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,489.56	Facility		$714.02	$714.02	$1,489.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $912.16	Professional		$521.23	$521.23	$912.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.01 / $714.02	Professional		$521.23	$714.01	$714.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $571.77 / $786.19 / $1,030.69	Professional		$571.77	$786.19	$1,030.69
United Facility/Professional Professional Modifier Low / Median / High Price $428.56 / $626.69 / $860.97	Professional		$428.56	$626.69	$860.97