Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.09 / $510.09 / $1,423.00	Facility		$510.09	$510.09	$1,423.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $510.09 / $619.60	Professional		$368.90	$510.09	$619.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.76 / $1,044.66 / $2,706.62	Facility		$891.76	$1,044.66	$2,706.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.55 / $466.53 / $1,234.58	Professional		$448.55	$466.53	$1,234.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.29 / $949.69 / $1,282.08	Facility		$617.29	$949.69	$1,282.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.29 / $854.72 / $2,033.48	Professional		$617.29	$854.72	$2,033.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $1,019.38	Facility		$550.80	$550.80	$1,019.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $703.66	Professional		$402.09	$402.09	$703.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $550.80	Professional		$402.09	$550.80	$550.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.87 / $553.94 / $726.22	Professional		$402.87	$553.94	$726.22
United Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $431.73 / $602.83	Professional		$287.54	$431.73	$602.83