Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $1,445.92 / $2,589.19	Facility		$672.52	$1,445.92	$2,589.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $672.52 / $798.62	Professional		$672.52	$672.52	$798.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $771.71	Professional		$285.82	$336.26	$771.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.55 / $924.72 / $16,111.79	Facility		$714.55	$924.72	$16,111.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $1,092.84 / $19,773.56	Professional		$546.41	$1,092.84	$19,773.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $956.24 / $4,867.60	Facility		$413.92	$956.24	$4,867.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $966.01 / $1,207.51	Professional		$966.01	$966.01	$1,207.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $546.41 / $4,867.60	Facility		$413.92	$546.41	$4,867.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $788.11 / $1,040.30	Professional		$630.49	$788.11	$1,040.30
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $1,008.78	Professional		$353.07	$504.39	$1,008.78