Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.96 / $961.06 / $1,574.50	Facility		$408.96	$961.06	$1,574.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.62 / $408.96 / $490.75	Professional		$347.62	$408.96	$490.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $168.13 / $469.28	Professional		$142.91	$168.13	$469.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.90 / $664.56 / $13,618.52	Facility		$474.90	$664.56	$13,618.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.26 / $1,117.42 / $14,142.30	Professional		$534.26	$1,117.42	$14,142.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $526.33 / $2,917.42	Facility		$332.28	$526.33	$2,917.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.28 / $587.29 / $734.11	Professional		$332.28	$587.29	$734.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $526.33 / $2,917.42	Facility		$332.28	$526.33	$2,917.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $332.28 / $332.28 / $332.28	Professional		$332.28	$332.28	$332.28
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 $214.70 / $306.72 / $744.82	Professional		$214.70	$306.72	$744.82