Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.17 / $404.17 / $1,005.00	Facility		$404.17	$404.17	$1,005.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.29 / $404.17 / $478.85	Professional		$354.29	$404.17	$478.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.25 / $910.51 / $2,359.06	Facility		$777.25	$910.51	$2,359.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $462.31 / $1,076.06	Professional		$414.71	$462.31	$1,076.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $703.58 / $703.58 / $703.58	Professional		$703.58	$703.58	$703.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.80 / $827.74 / $1,133.72	Facility		$620.80	$827.74	$1,133.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.41 / $827.74 / $1,772.36	Professional		$579.41	$827.74	$1,772.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $1,107.16	Facility		$511.94	$511.94	$1,107.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $688.25	Professional		$373.72	$373.72	$688.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $511.94 / $511.94	Professional		$373.72	$511.94	$511.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $482.82 / $632.98	Professional		$351.14	$482.82	$632.98
United Facility/Professional Professional Modifier Low / Median / High Price $275.30 / $412.95 / $589.16	Professional		$275.30	$412.95	$589.16