Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $277.95 / $828.00	Facility		$277.95	$277.95	$828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.58 / $277.95 / $355.12	Professional		$201.58	$277.95	$355.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $348.74 / $555.59	Professional		$285.86	$348.74	$555.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.10 / $3,155.39 / $7,672.07	Facility		$297.10	$3,155.39	$7,672.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $3,788.01 / $6,973.38	Professional		$309.93	$3,788.01	$6,973.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $700.00	Facility		$334.42	$334.42	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $1,398.52 / $1,398.52	Professional		$471.64	$1,398.52	$1,398.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $700.00	Facility		$334.42	$334.42	$700.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $471.64 / $1,398.52	Professional		$0.66	$471.64	$1,398.52
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 $267.26 / $339.59 / $614.38	Professional		$267.26	$339.59	$614.38