Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.61 / $737.61 / $2,479.00	Facility		$737.61	$737.61	$2,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $737.61 / $996.50	Professional		$679.71	$737.61	$996.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.53 / $1,510.63 / $3,913.91	Facility		$1,289.53	$1,510.63	$3,913.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.94 / $803.92 / $1,812.75	Professional		$669.94	$803.92	$1,812.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.98 / $1,373.30 / $1,922.62	Facility		$1,029.98	$1,373.30	$1,922.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $961.31 / $1,373.30 / $2,940.51	Professional		$961.31	$1,373.30	$2,940.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $2,086.60	Facility		$888.38	$888.38	$2,086.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $1,134.91	Professional		$648.52	$648.52	$1,134.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $888.38	Professional		$648.52	$888.38	$888.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.57 / $801.04 / $1,050.16	Professional		$582.57	$801.04	$1,050.16
United Facility/Professional Professional Modifier Low / Median / High Price $456.75 / $685.12 / $995.25	Professional		$456.75	$685.12	$995.25