Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $426.58	Facility		$316.23	$398.11	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $741.31	Professional		$309.03	$389.05	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $302.00 / $588.84	Facility		$5.01	$302.00	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,187.76	Professional		$1,096.48	$1,348.96	$2,187.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,370.32	Facility		$2,238.72	$3,090.30	$5,370.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $616.60	Professional		$380.19	$501.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Professional		$281.84	$398.11	$630.96