Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.28 / $380.28 / $688.00	Facility		$380.28	$380.28	$688.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $380.28 / $444.77	Professional		$286.42	$380.28	$444.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.30 / $856.69 / $2,219.61	Facility		$731.30	$856.69	$2,219.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $390.19 / $1,012.45	Professional		$350.82	$390.19	$1,012.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.49 / $778.81 / $1,051.39	Facility		$496.49	$778.81	$1,051.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $506.23 / $700.93 / $1,667.59	Professional		$506.23	$700.93	$1,667.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $757.59	Facility		$503.81	$503.81	$757.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $647.57	Professional		$367.78	$367.78	$647.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $503.81 / $503.81	Professional		$367.78	$503.81	$503.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $454.28 / $595.57	Professional		$330.39	$454.28	$595.57
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $388.54 / $494.36	Professional		$242.84	$388.54	$494.36