Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.24 / $749.24 / $1,324.00	Facility		$749.24	$749.24	$1,324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.72 / $749.24 / $1,014.10	Professional		$717.72	$749.24	$1,014.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.84 / $1,687.88 / $4,373.14	Facility		$1,440.84	$1,687.88	$4,373.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $941.24 / $1,994.77	Professional		$810.61	$941.24	$1,994.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.16 / $1,534.44 / $2,071.48	Facility		$1,126.16	$1,534.44	$2,071.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.39 / $1,381.00 / $3,285.54	Professional		$997.39	$1,381.00	$3,285.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,759.62	Facility		$843.35	$843.35	$1,759.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $922.52	Professional		$716.85	$716.85	$922.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $843.35	Professional		$716.85	$843.35	$843.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $780.15 / $1,072.70 / $1,406.32	Professional		$780.15	$1,072.70	$1,406.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,529.61 / $1,799.54	Facility		$1,529.61	$1,529.61	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $510.35 / $765.52 / $1,037.58	Professional		$510.35	$765.52	$1,037.58