Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.51 / $335.51 / $782.00	Facility		$335.51	$335.51	$782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.74 / $335.51 / $477.10	Professional		$319.74	$335.51	$477.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.21 / $755.83 / $1,958.29	Facility		$645.21	$755.83	$1,958.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $349.65 / $893.25	Professional		$344.25	$349.65	$893.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.73 / $687.12 / $927.61	Facility		$488.73	$687.12	$927.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.63 / $618.41 / $1,471.26	Professional		$446.63	$618.41	$1,471.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $734.30	Facility		$444.49	$444.49	$734.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $567.84	Professional		$324.48	$324.48	$567.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $444.49	Professional		$324.48	$444.49	$444.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $291.48 / $400.78 / $525.42	Professional		$291.48	$400.78	$525.42
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $342.80 / $442.02	Professional		$228.53	$342.80	$442.02