Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.78 / $540.99 / $1,680.88	Facility		$498.78	$540.99	$1,680.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.36 / $498.78 / $604.27	Professional		$426.36	$498.78	$604.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.98 / $1,021.49 / $2,646.60	Facility		$871.98	$1,021.49	$2,646.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $487.72 / $1,220.21	Professional		$453.00	$487.72	$1,220.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.98 / $928.63 / $1,253.65	Facility		$663.98	$928.63	$1,253.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.61 / $835.77 / $1,988.38	Professional		$603.61	$835.77	$1,988.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $1,057.49	Facility		$501.14	$501.14	$1,057.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $501.14	Professional		$365.83	$501.14	$501.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $393.95 / $541.68 / $710.14	Professional		$393.95	$541.68	$710.14
United Facility/Professional Professional Modifier Low / Median / High Price $301.06 / $436.09 / $602.85	Professional		$301.06	$436.09	$602.85