Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.56 / $1,946.48 / $2,791.33	Facility		$695.56	$1,946.48	$2,791.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.04 / $828.29 / $1,347.51	Professional		$691.04	$828.29	$1,347.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $917.87 / $1,434.45	Professional		$668.70	$917.87	$1,434.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.94 / $889.94 / $1,295.86	Facility		$889.94	$889.94	$1,295.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $838.88 / $959.74 / $959.74	Professional		$838.88	$959.74	$959.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.97 / $833.95 / $1,584.00	Facility		$662.97	$833.95	$1,584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.17 / $1,117.78 / $1,927.77	Professional		$721.17	$1,117.78	$1,927.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $662.97 / $823.48 / $1,584.00	Facility		$662.97	$823.48	$1,584.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $781.01 / $1,118.57 / $1,720.53	Professional		$781.01	$1,118.57	$1,720.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $833.02 / $1,113.96 / $1,602.14	Professional		$833.02	$1,113.96	$1,602.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,065.14 / $1,065.14 / $1,243.65	Facility		$1,065.14	$1,065.14	$1,243.65
United Facility/Professional Professional Modifier Low / Median / High Price $670.83 / $936.26 / $1,612.80	Professional		$670.83	$936.26	$1,612.80