Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.38 / $624.38 / $1,439.00	Facility		$624.38	$624.38	$1,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $624.38 / $780.23	Professional		$509.24	$624.38	$780.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,091.58 / $1,278.74 / $3,313.10	Facility		$1,091.58	$1,278.74	$3,313.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $591.00 / $1,511.23	Professional		$567.09	$591.00	$1,511.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.04 / $1,162.49 / $1,569.36	Facility		$793.04	$1,162.49	$1,569.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $755.62 / $1,046.24 / $2,489.12	Professional		$755.62	$1,046.24	$2,489.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,264.46	Facility		$751.98	$751.98	$1,264.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $966.59	Professional		$548.95	$548.95	$966.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $751.98 / $751.98	Professional		$548.95	$751.98	$751.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.14 / $678.07 / $888.95	Professional		$493.14	$678.07	$888.95
United Facility/Professional Facility Modifier Low / Median / High Price $308.35 / $479.78 / $929.99	Facility		$308.35	$479.78	$929.99
United Facility/Professional Professional Modifier Low / Median / High Price $364.25 / $537.45 / $740.87	Professional		$364.25	$537.45	$740.87