Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.57 / $372.57 / $786.00	Facility		$372.57	$372.57	$786.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $372.57 / $435.74	Professional		$286.13	$372.57	$435.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.47 / $839.31 / $2,174.58	Facility		$716.47	$839.31	$2,174.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $382.27 / $991.91	Professional		$343.70	$382.27	$991.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.96 / $763.01 / $1,030.06	Facility		$495.96	$763.01	$1,030.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.96 / $686.71 / $1,633.76	Professional		$495.96	$686.71	$1,633.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $757.00	Facility		$493.58	$493.58	$757.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $634.42	Professional		$360.31	$360.31	$634.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $493.58	Professional		$360.31	$493.58	$493.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.68 / $445.06 / $583.47	Professional		$323.68	$445.06	$583.47
United Facility/Professional Facility Modifier Low / Median / High Price $648.55 / $648.55 / $763.01	Facility		$648.55	$648.55	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $380.66 / $552.97	Professional		$237.91	$380.66	$552.97