Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.78 / $660.78 / $1,433.00	Facility		$660.78	$660.78	$1,433.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.66 / $660.78 / $933.01	Professional		$619.66	$660.78	$933.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.72 / $1,488.60 / $3,856.82	Facility		$1,270.72	$1,488.60	$3,856.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.17 / $682.97 / $1,759.25	Professional		$660.17	$682.97	$1,759.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.77 / $1,353.27 / $1,826.91	Facility		$947.77	$1,353.27	$1,826.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.63 / $1,217.94 / $2,897.62	Professional		$879.63	$1,217.94	$2,897.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,453.97	Facility		$702.38	$702.38	$1,453.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $897.29	Professional		$512.74	$512.74	$897.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $702.38	Professional		$512.74	$702.38	$702.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $574.08 / $789.36 / $1,034.85	Professional		$574.08	$789.36	$1,034.85
United Facility/Professional Professional Modifier Low / Median / High Price $450.09 / $675.13 / $864.14	Professional		$450.09	$675.13	$864.14