Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.45 / $394.45 / $1,102.00	Facility		$394.45	$394.45	$1,102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $394.45 / $436.61	Professional		$315.01	$394.45	$436.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.59 / $807.83 / $2,093.01	Facility		$689.59	$807.83	$2,093.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.25 / $383.03 / $954.70	Professional		$358.25	$383.03	$954.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.41 / $734.39 / $991.43	Facility		$527.41	$734.39	$991.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.35 / $660.95 / $1,572.48	Professional		$477.35	$660.95	$1,572.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $846.12	Facility		$408.71	$408.71	$846.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $522.13	Professional		$298.36	$298.36	$522.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $408.71	Professional		$298.36	$408.71	$408.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $428.35 / $561.56	Professional		$311.52	$428.35	$561.56
United Facility/Professional Professional Modifier Low / Median / High Price $244.26 / $351.08 / $491.55	Professional		$244.26	$351.08	$491.55