Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.76 / $745.76 / $1,914.00	Facility		$745.76	$745.76	$1,914.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.78 / $745.76 / $915.94	Professional		$580.78	$745.76	$915.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.77 / $1,527.32 / $3,957.14	Facility		$1,303.77	$1,527.32	$3,957.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.05 / $677.33 / $1,805.01	Professional		$638.05	$677.33	$1,805.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $909.94 / $1,388.47 / $1,874.43	Facility		$909.94	$1,388.47	$1,874.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $902.51 / $1,249.61 / $2,972.99	Professional		$902.51	$1,249.61	$2,972.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,446.17	Facility		$680.86	$680.86	$1,446.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $869.80	Professional		$497.03	$497.03	$869.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $680.86	Professional		$497.03	$680.86	$680.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $809.88 / $1,061.76	Professional		$589.00	$809.88	$1,061.76
United Facility/Professional Facility Modifier Low / Median / High Price $368.11 / $538.75 / $1,110.78	Facility		$368.11	$538.75	$1,110.78
United Facility/Professional Professional Modifier Low / Median / High Price $409.02 / $640.45 / $966.39	Professional		$409.02	$640.45	$966.39