Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.90 / $431.90 / $1,031.00	Facility		$431.90	$431.90	$1,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.10 / $431.90 / $645.15	Professional		$409.10	$431.90	$645.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.56 / $972.97 / $2,520.88	Facility		$830.56	$972.97	$2,520.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.16 / $468.88 / $1,149.86	Professional		$443.16	$468.88	$1,149.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $625.72 / $884.52 / $1,194.09	Facility		$625.72	$884.52	$1,194.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.94 / $796.07 / $1,893.93	Professional		$574.94	$796.07	$1,893.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $985.21	Facility		$572.20	$572.20	$985.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $730.99	Professional		$417.71	$417.71	$730.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $572.20	Professional		$417.71	$572.20	$572.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $515.94 / $676.40	Professional		$375.23	$515.94	$676.40
United Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $441.28 / $611.03	Professional		$294.19	$441.28	$611.03