Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.98 / $1,225.46 / $2,194.42	Facility		$569.98	$1,225.46	$2,194.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.48 / $569.98 / $569.98	Professional		$484.48	$569.98	$569.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $522.95	Professional		$8.92	$8.92	$522.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.60 / $926.21 / $18,988.23	Facility		$605.60	$926.21	$18,988.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.92 / $1,558.01 / $19,718.54	Professional		$744.92	$1,558.01	$19,718.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $810.44 / $4,125.47	Facility		$350.80	$810.44	$4,125.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $818.98 / $1,023.72	Professional		$818.98	$818.98	$1,023.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $463.11 / $4,125.47	Facility		$350.80	$463.11	$4,125.47
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 Facility Modifier Low / Median / High Price $256.49 / $256.49 / $641.22	Facility		$256.49	$256.49	$641.22
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $427.48 / $854.96	Professional		$299.24	$427.48	$854.96