Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.01 / $871.87 / $1,428.39	Facility		$371.01	$871.87	$1,428.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $371.01 / $725.00	Professional		$315.36	$371.01	$725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.58 / $340.39	Professional		$2.19	$2.58	$340.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $602.89 / $10,851.98	Facility		$394.20	$602.89	$10,851.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.90 / $1,014.17 / $12,835.56	Professional		$484.90	$1,014.17	$12,835.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $477.48 / $2,646.64	Facility		$301.44	$477.48	$2,646.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $533.17 / $666.48	Professional		$301.44	$533.17	$666.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $477.48 / $2,646.64	Facility		$301.44	$477.48	$2,646.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $301.44 / $301.44	Professional		$301.44	$301.44	$301.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $278.26 / $556.51	Professional		$194.78	$278.26	$556.51