Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.67 / $398.67 / $961.00	Facility		$398.67	$398.67	$961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $398.67 / $546.45	Professional		$342.53	$398.67	$546.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.67 / $898.13 / $2,326.96	Facility		$766.67	$898.13	$2,326.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $424.79 / $1,061.42	Professional		$409.04	$424.79	$1,061.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.71 / $816.48 / $1,102.25	Facility		$530.71	$816.48	$1,102.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.71 / $734.83 / $1,748.25	Professional		$530.71	$734.83	$1,748.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $910.10	Facility		$555.76	$555.76	$910.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $678.88	Professional		$405.70	$405.70	$678.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $555.76	Professional		$405.70	$555.76	$555.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.34 / $476.22 / $624.32	Professional		$346.34	$476.22	$624.32
United Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $407.33 / $537.01	Professional		$271.55	$407.33	$537.01