Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.91 / $387.91 / $890.00	Facility		$387.91	$387.91	$890.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $387.91 / $608.70	Professional		$378.08	$387.91	$608.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.97 / $873.87 / $2,264.13	Facility		$745.97	$873.87	$2,264.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $465.04 / $1,044.40	Professional		$387.54	$465.04	$1,044.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $675.27 / $675.27	Professional		$675.27	$675.27	$675.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.82 / $794.43 / $1,112.20	Facility		$595.82	$794.43	$1,112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $516.38 / $794.43 / $1,701.03	Professional		$516.38	$794.43	$1,701.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $998.23	Facility		$703.94	$703.94	$998.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $703.94 / $703.94	Professional		$598.35	$703.94	$703.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $463.37 / $607.48	Professional		$337.00	$463.37	$607.48
United Facility/Professional Professional Modifier Low / Median / High Price $264.22 / $396.33 / $608.95	Professional		$264.22	$396.33	$608.95