Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.05 / $605.13 / $1,154.58	Facility		$242.05	$605.13	$1,154.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $242.05 / $278.83	Professional		$164.64	$242.05	$278.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.21 / $1,030.84 / $1,498.29	Professional		$859.21	$1,030.84	$1,498.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.38 / $624.23 / $5,825.66	Facility		$235.38	$624.23	$5,825.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $3,530.70 / $6,090.47	Professional		$235.38	$3,530.70	$6,090.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $842.38 / $1,421.13	Facility		$287.45	$842.38	$1,421.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $1,202.06 / $1,202.06	Professional		$405.39	$1,202.06	$1,202.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $842.38 / $1,058.68	Facility		$530.00	$842.38	$1,058.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $405.39 / $1,202.06	Professional		$405.39	$405.39	$1,202.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $316.57 / $511.43	Professional		$218.96	$316.57	$511.43