Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $311.70 / $1,165.00	Facility		$311.70	$311.70	$1,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $311.70 / $431.39	Professional		$303.80	$311.70	$431.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.41 / $702.19 / $1,819.30	Facility		$599.41	$702.19	$1,819.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.82 / $383.39 / $842.62	Professional		$319.82	$383.39	$842.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.76 / $638.35 / $875.23	Facility		$478.76	$638.35	$875.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.85 / $638.35 / $1,366.84	Professional		$446.85	$638.35	$1,366.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $854.72	Facility		$412.94	$412.94	$854.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $527.53	Professional		$301.45	$301.45	$527.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $412.94 / $412.94	Professional		$301.45	$412.94	$412.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $372.35 / $488.15	Professional		$270.80	$372.35	$488.15
United Facility/Professional Professional Modifier Low / Median / High Price $212.31 / $318.47 / $490.75	Professional		$212.31	$318.47	$490.75