Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $1,261.00	Facility		$449.41	$449.41	$1,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $462.89	Professional		$449.41	$449.41	$462.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $521.30 / $916.16	Professional		$449.41	$521.30	$916.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $764.00	Facility		$449.41	$449.41	$764.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $606.70	Professional		$449.41	$449.41	$606.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $423.97 / $449.41	Facility		$423.97	$423.97	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $797.50	Professional		$449.41	$449.41	$797.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,173.00	Facility		$1,173.00	$1,173.00	$1,173.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $797.50	Professional		$449.41	$449.41	$797.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $494.35 / $530.99 / $532.01	Professional		$494.35	$530.99	$532.01
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $588.73	Professional		$449.41	$449.41	$588.73