Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.99 / $429.99 / $983.00	Facility		$429.99	$429.99	$983.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $429.99 / $584.34	Professional		$387.48	$429.99	$584.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.90 / $968.68 / $2,509.77	Facility		$826.90	$968.68	$2,509.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $482.76 / $1,144.80	Professional		$441.19	$482.76	$1,144.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $592.66 / $880.62 / $1,188.83	Facility		$592.66	$880.62	$1,188.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $792.56 / $1,885.58	Professional		$572.40	$792.56	$1,885.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $970.73	Facility		$589.44	$589.44	$970.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $732.22	Professional		$430.29	$430.29	$732.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $589.44	Professional		$430.29	$589.44	$589.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.36 / $522.99 / $685.64	Professional		$380.36	$522.99	$685.64
United Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $439.33 / $607.49	Professional		$292.89	$439.33	$607.49