Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.98 / $743.98 / $2,041.00	Facility		$743.98	$743.98	$2,041.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.60 / $743.98 / $921.01	Professional		$641.60	$743.98	$921.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.66 / $1,523.67 / $3,947.68	Facility		$1,300.66	$1,523.67	$3,947.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.73 / $722.95 / $1,800.69	Professional		$675.73	$722.95	$1,800.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.30 / $1,385.15 / $1,869.95	Facility		$1,000.30	$1,385.15	$1,869.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $900.35 / $1,246.64 / $2,965.88	Professional		$900.35	$1,246.64	$2,965.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,559.11	Facility		$752.15	$752.15	$1,559.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,151.73	Professional		$549.07	$549.07	$1,151.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $752.14 / $752.15	Professional		$549.07	$752.14	$752.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $587.60 / $807.96 / $1,059.23	Professional		$587.60	$807.96	$1,059.23
United Facility/Professional Professional Modifier Low / Median / High Price $451.85 / $650.55 / $904.80	Professional		$451.85	$650.55	$904.80