Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.66 / $564.66 / $1,836.00	Facility		$564.66	$564.66	$1,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.34 / $564.66 / $833.16	Professional		$520.34	$564.66	$833.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.18 / $1,156.44 / $2,996.23	Facility		$987.18	$1,156.44	$2,996.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $609.98 / $1,381.42	Professional		$512.86	$609.98	$1,381.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.48 / $1,051.31 / $1,419.27	Facility		$788.48	$1,051.31	$1,419.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $683.35 / $946.18 / $2,251.06	Professional		$683.35	$946.18	$2,251.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,376.37	Facility		$740.83	$740.83	$1,376.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $874.14	Professional		$540.80	$540.80	$874.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $740.83	Professional		$540.80	$740.83	$740.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $445.97 / $613.21 / $803.92	Professional		$445.97	$613.21	$803.92
United Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $519.67 / $762.17	Professional		$349.66	$519.67	$762.17