Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.89 / $477.89 / $841.00	Facility		$477.89	$477.89	$841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $477.89 / $671.70	Professional		$368.44	$477.89	$671.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.01 / $1,076.58 / $2,789.32	Facility		$919.01	$1,076.58	$2,789.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $490.34 / $1,272.32	Professional		$452.00	$490.34	$1,272.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.66 / $978.71 / $1,321.26	Facility		$638.66	$978.71	$1,321.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.16 / $880.84 / $2,095.61	Professional		$636.16	$880.84	$2,095.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,076.64	Facility		$644.36	$644.36	$1,076.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $653.95	Professional		$470.38	$470.38	$653.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $644.36	Professional		$470.38	$644.36	$644.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $415.19 / $570.88 / $748.43	Professional		$415.19	$570.88	$748.43
United Facility/Professional Professional Modifier Low / Median / High Price $312.38 / $488.26 / $621.25	Professional		$312.38	$488.26	$621.25