Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.29 / $543.29 / $1,589.00	Facility		$543.29	$543.29	$1,589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.53 / $543.29 / $931.96	Professional		$529.53	$543.29	$931.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.80 / $1,223.94 / $3,171.11	Facility		$1,044.80	$1,223.94	$3,171.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.47 / $656.70 / $1,457.85	Professional		$557.47	$656.70	$1,457.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $820.04 / $1,112.67 / $1,502.10	Facility		$820.04	$1,112.67	$1,502.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,001.40 / $2,382.44	Professional		$723.24	$1,001.40	$2,382.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,392.19	Facility		$719.79	$719.79	$1,392.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $919.53	Professional		$525.45	$525.45	$919.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $719.79 / $719.79	Professional		$525.45	$719.79	$719.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $472.01 / $649.02 / $850.86	Professional		$472.01	$649.02	$850.86
United Facility/Professional Professional Modifier Low / Median / High Price $370.06 / $555.10 / $840.57	Professional		$370.06	$555.10	$840.57