Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $211.03 / $1,410.00	Facility		$79.97	$211.03	$1,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $440.74 / $519.92	Professional		$361.80	$440.74	$519.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.52 / $902.64 / $2,338.65	Facility		$770.52	$902.64	$2,338.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.12 / $439.23 / $1,083.16	Professional		$411.12	$439.23	$1,083.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $615.44 / $820.58 / $1,107.78	Facility		$615.44	$820.58	$1,107.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $787.77 / $1,757.03	Professional		$568.95	$787.77	$1,757.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $1,025.75	Facility		$488.53	$488.53	$1,025.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $682.30	Professional		$356.63	$488.53	$682.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $488.53	Professional		$356.63	$488.53	$488.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $394.67 / $542.67 / $711.44	Professional		$394.67	$542.67	$711.44
United Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $396.61 / $751.57	Professional		$272.92	$396.61	$751.57