Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.83 / $632.83 / $2,132.63	Facility		$632.83	$632.83	$2,132.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $632.83 / $818.65	Professional		$567.41	$632.83	$818.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.33 / $1,296.03 / $3,357.90	Facility		$1,106.33	$1,296.03	$3,357.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.77 / $660.98 / $1,570.95	Professional		$574.77	$660.98	$1,570.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.66 / $1,178.21 / $1,590.58	Facility		$883.66	$1,178.21	$1,590.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $766.84 / $1,178.21 / $2,522.78	Professional		$766.84	$1,178.21	$2,522.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,550.58	Facility		$736.22	$736.22	$1,550.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $940.52	Professional		$537.44	$537.44	$940.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $736.22	Professional		$537.44	$736.22	$736.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $687.24 / $900.98	Professional		$499.81	$687.24	$900.98
United Facility/Professional Professional Modifier Low / Median / High Price $391.86 / $587.79 / $884.55	Professional		$391.86	$587.79	$884.55