Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.19 / $466.19 / $1,217.00	Facility		$466.19	$466.19	$1,217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.37 / $466.19 / $799.69	Professional		$454.37	$466.19	$799.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.51 / $1,050.23 / $2,721.04	Facility		$896.51	$1,050.23	$2,721.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $558.90 / $1,258.83	Professional		$465.75	$558.90	$1,258.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $811.54 / $811.54 / $811.54	Professional		$811.54	$811.54	$811.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.06 / $954.75 / $1,288.91	Facility		$716.06	$954.75	$1,288.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.59 / $954.75 / $2,044.31	Professional		$620.59	$954.75	$2,044.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $1,241.01	Facility		$596.58	$596.58	$1,241.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $793.85	Professional		$435.50	$435.50	$793.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $596.58 / $596.58	Professional		$435.50	$596.58	$596.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $405.01 / $556.89 / $730.09	Professional		$405.01	$556.89	$730.09
United Facility/Professional Facility Modifier Low / Median / High Price $430.49 / $716.78 / $763.80	Facility		$430.49	$716.78	$763.80
United Facility/Professional Professional Modifier Low / Median / High Price $317.54 / $476.31 / $733.98	Professional		$317.54	$476.31	$733.98