Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.28 / $377.28 / $1,264.00	Facility		$377.28	$377.28	$1,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $377.28 / $441.25	Professional		$289.75	$377.28	$441.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.53 / $849.93 / $2,202.08	Facility		$725.53	$849.93	$2,202.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $387.11 / $1,004.45	Professional		$348.05	$387.11	$1,004.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.23 / $772.66 / $1,043.08	Facility		$502.23	$772.66	$1,043.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.23 / $695.39 / $1,654.42	Professional		$502.23	$695.39	$1,654.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $755.96	Facility		$499.82	$499.82	$755.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $642.45	Professional		$364.87	$364.87	$642.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $499.82 / $499.82	Professional		$364.87	$499.82	$499.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.77 / $450.69 / $590.85	Professional		$327.77	$450.69	$590.85
United Facility/Professional Facility Modifier Low / Median / High Price $261.30 / $435.50 / $618.13	Facility		$261.30	$435.50	$618.13
United Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $385.47 / $490.46	Professional		$240.92	$385.47	$490.46