Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.08 / $508.08 / $1,480.00	Facility		$508.08	$508.08	$1,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $508.08 / $663.61	Professional		$428.95	$508.08	$663.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.08 / $1,144.60 / $2,965.57	Facility		$977.08	$1,144.60	$2,965.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.32 / $534.42 / $1,352.71	Professional		$521.32	$534.42	$1,352.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.36 / $1,040.55 / $1,404.74	Facility		$676.36	$1,040.55	$1,404.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.36 / $936.50 / $2,228.03	Professional		$676.36	$936.50	$2,228.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,145.88	Facility		$673.11	$673.11	$1,145.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $859.90	Professional		$491.37	$491.37	$859.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $673.11	Professional		$491.37	$673.11	$673.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $606.94 / $795.70	Professional		$441.41	$606.94	$795.70
United Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $519.12 / $672.51	Professional		$346.08	$519.12	$672.51