Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $1,087.00	Facility		$487.59	$487.59	$1,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $502.21	Professional		$487.59	$487.59	$502.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $565.60 / $949.38	Professional		$487.59	$565.60	$949.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $828.90	Facility		$487.59	$487.59	$828.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $658.25	Professional		$487.59	$487.59	$658.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $459.99 / $487.59	Facility		$459.99	$459.99	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $689.98	Professional		$487.59	$487.59	$689.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $833.00 / $833.00	Facility		$833.00	$833.00	$833.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $803.99	Professional		$487.59	$487.59	$803.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $536.34	Professional		$40.00	$50.00	$536.34
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $627.04	Professional		$487.59	$487.59	$627.04