Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.77 / $519.77 / $1,365.00	Facility		$519.77	$519.77	$1,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $519.77 / $562.10	Professional		$364.12	$519.77	$562.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.69 / $1,064.49 / $2,758.00	Facility		$908.69	$1,064.49	$2,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.76 / $472.09 / $1,258.03	Professional		$442.76	$472.09	$1,258.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.02 / $967.72 / $1,306.42	Facility		$629.02	$967.72	$1,306.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $629.02 / $870.95 / $2,072.08	Professional		$629.02	$870.95	$2,072.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $990.54	Facility		$626.01	$626.01	$990.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $626.01	Professional		$456.99	$456.99	$626.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $626.01	Professional		$456.99	$626.01	$626.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $564.47 / $740.02	Professional		$410.52	$564.47	$740.02
United Facility/Professional Professional Modifier Low / Median / High Price $283.82 / $436.35 / $614.28	Professional		$283.82	$436.35	$614.28