Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.07 / $313.07 / $2,976.00	Facility		$313.07	$313.07	$2,976.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $313.07 / $358.67	Professional		$273.98	$313.07	$358.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.32 / $641.16 / $1,661.21	Facility		$547.32	$641.16	$1,661.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $325.80 / $772.72	Professional		$273.73	$325.80	$772.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.16 / $582.88 / $786.89	Facility		$437.16	$582.88	$786.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $527.45 / $1,248.06	Professional		$380.94	$527.45	$1,248.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $686.78	Facility		$325.37	$325.37	$686.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $484.66	Professional		$237.52	$237.52	$484.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $325.37	Professional		$237.52	$325.37	$325.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $110.00 / $144.21	Professional		$80.00	$110.00	$144.21
United Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $288.20 / $407.54	Professional		$193.86	$288.20	$407.54