Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.66 / $462.66 / $1,116.00	Facility		$462.66	$462.66	$1,116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $462.66 / $621.87	Professional		$429.23	$462.66	$621.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $889.72 / $1,042.27 / $2,700.43	Facility		$889.72	$1,042.27	$2,700.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $527.87 / $1,231.77	Professional		$474.71	$527.87	$1,231.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.52 / $947.52 / $1,279.15	Facility		$656.52	$947.52	$1,279.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $615.89 / $852.77 / $2,028.83	Professional		$615.89	$852.77	$2,028.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,159.67	Facility		$612.94	$612.94	$1,159.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $783.03	Professional		$447.45	$447.45	$783.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $612.94	Professional		$447.45	$612.94	$612.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $552.68 / $724.56	Professional		$401.95	$552.68	$724.56
United Facility/Professional Facility Modifier Low / Median / High Price $394.70 / $657.83 / $758.02	Facility		$394.70	$657.83	$758.02
United Facility/Professional Professional Modifier Low / Median / High Price $315.14 / $472.70 / $686.68	Professional		$315.14	$472.70	$686.68