Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $460.48 / $1,459.00	Facility		$460.48	$460.48	$1,459.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $460.48 / $489.26	Professional		$460.48	$460.48	$489.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $762.65 / $1,271.08	Facility		$0.03	$762.65	$1,271.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $584.69 / $870.48	Professional		$503.35	$584.69	$870.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.38 / $686.38 / $1,166.84	Facility		$686.38	$686.38	$1,166.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $686.38 / $686.38	Professional		$508.43	$686.38	$686.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $761.56	Facility		$489.26	$508.43	$761.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $647.53	Professional		$508.43	$508.43	$647.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $528.86 / $819.73	Facility		$489.26	$528.86	$819.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $719.48	Professional		$508.43	$508.43	$719.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $584.69 / $733.20	Professional		$508.43	$584.69	$733.20
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $684.96	Professional		$575.60	$575.60	$684.96