Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.91 / $383.91 / $1,019.00	Facility		$383.91	$383.91	$1,019.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.21 / $383.91 / $553.69	Professional		$365.21	$383.91	$553.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.28 / $864.86 / $2,240.78	Facility		$738.28	$864.86	$2,240.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.54 / $438.68 / $1,022.11	Professional		$383.54	$438.68	$1,022.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.67 / $786.24 / $1,061.42	Facility		$589.67	$786.24	$1,061.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.06 / $707.62 / $1,683.50	Professional		$511.06	$707.62	$1,683.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $916.67	Facility		$456.40	$456.40	$916.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $583.04	Professional		$333.17	$333.17	$583.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $456.40	Professional		$333.17	$456.40	$456.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $458.60 / $601.22	Professional		$333.52	$458.60	$601.22
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $392.24 / $561.51	Professional		$261.49	$392.24	$561.51