Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.51 / $366.51 / $1,016.00	Facility		$366.51	$366.51	$1,016.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $366.51 / $545.59	Professional		$357.23	$366.51	$545.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.83 / $825.68 / $2,139.27	Facility		$704.83	$825.68	$2,139.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.06 / $450.83 / $989.70	Professional		$376.06	$450.83	$989.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.97 / $750.62 / $1,013.34	Facility		$562.97	$750.62	$1,013.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.90 / $750.62 / $1,607.23	Professional		$487.90	$750.62	$1,607.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $938.92	Facility		$485.57	$485.57	$938.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $620.32	Professional		$354.47	$354.47	$620.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $485.57	Professional		$354.47	$485.57	$485.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.42 / $437.83 / $573.99	Professional		$318.42	$437.83	$573.99
United Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $374.47 / $564.21	Professional		$249.65	$374.47	$564.21