Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.89 / $864.54 / $1,416.38	Facility		$367.89	$864.54	$1,416.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $367.89 / $725.00	Professional		$312.70	$367.89	$725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.58 / $337.53	Professional		$2.19	$2.58	$337.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.88 / $597.82 / $10,760.72	Facility		$390.88	$597.82	$10,760.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.84 / $1,005.67 / $12,728.04	Professional		$480.84	$1,005.67	$12,728.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.91 / $473.47 / $2,624.43	Facility		$298.91	$473.47	$2,624.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $528.64 / $660.80	Professional		$298.91	$528.64	$660.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $298.91 / $473.47 / $2,624.43	Facility		$298.91	$473.47	$2,624.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $298.91 / $298.91	Professional		$298.91	$298.91	$298.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $275.92 / $602.41	Professional		$193.14	$275.92	$602.41