Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.94 / $408.94 / $1,141.00	Facility		$408.94	$408.94	$1,141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $408.94 / $529.02	Professional		$361.64	$408.94	$529.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.92 / $837.50 / $2,169.88	Facility		$714.92	$837.50	$2,169.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.41 / $382.93 / $1,000.42	Professional		$371.41	$382.93	$1,000.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.82 / $761.36 / $1,027.83	Facility		$555.82	$761.36	$1,027.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.88 / $685.22 / $1,630.22	Professional		$494.88	$685.22	$1,630.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $864.69	Facility		$408.60	$408.60	$864.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $521.99	Professional		$298.27	$298.27	$521.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $408.60 / $408.60	Professional		$298.27	$408.60	$408.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.96 / $444.08 / $582.19	Professional		$322.96	$444.08	$582.19
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $357.53 / $499.22	Professional		$245.47	$357.53	$499.22