Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.89 / $445.89 / $1,201.00	Facility		$445.89	$445.89	$1,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.56 / $445.89 / $679.82	Professional		$396.56	$445.89	$679.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.48 / $1,004.50 / $2,602.56	Facility		$857.48	$1,004.50	$2,602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $491.79 / $1,187.13	Professional		$457.51	$491.79	$1,187.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.35 / $913.18 / $1,232.79	Facility		$618.35	$913.18	$1,232.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.57 / $821.86 / $1,955.30	Professional		$593.57	$821.86	$1,955.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $1,051.45	Facility		$649.92	$649.92	$1,051.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $759.29	Professional		$474.45	$474.45	$759.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $649.92 / $649.92	Professional		$474.45	$649.92	$649.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $532.64 / $698.29	Professional		$387.37	$532.64	$698.29
United Facility/Professional Professional Modifier Low / Median / High Price $303.72 / $455.57 / $630.82	Professional		$303.72	$455.57	$630.82