Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.35 / $400.35 / $999.00	Facility		$400.35	$400.35	$999.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $400.35 / $559.50	Professional		$366.25	$400.35	$559.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.90 / $901.91 / $2,336.77	Facility		$769.90	$901.91	$2,336.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.79 / $454.30 / $1,065.89	Professional		$410.79	$454.30	$1,065.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.17 / $819.92 / $1,106.89	Facility		$560.17	$819.92	$1,106.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $737.93 / $1,755.61	Professional		$532.95	$737.93	$1,755.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $913.49	Facility		$530.41	$530.41	$913.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $681.75	Professional		$387.20	$387.20	$681.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $530.41	Facility		$530.41	$530.41	$530.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $530.41 / $530.41	Professional		$387.20	$530.41	$530.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.83 / $478.26 / $627.01	Professional		$347.83	$478.26	$627.01
United Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $409.05 / $594.21	Professional		$272.70	$409.05	$594.21