Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.19 / $1,095.31 / $2,138.46	Facility		$602.19	$1,095.31	$2,138.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.19 / $637.08 / $1,295.20	Professional		$602.19	$637.08	$1,295.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $324.52 / $831.83	Professional		$192.49	$324.52	$831.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $545.17 / $890.79	Facility		$66.56	$545.17	$890.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $587.94 / $659.73	Professional		$71.79	$587.94	$659.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.61 / $1,815.40 / $2,441.50	Facility		$1,023.61	$1,815.40	$2,441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.17 / $819.52 / $1,671.91	Professional		$563.17	$819.52	$1,671.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,023.61 / $1,815.40 / $2,441.50	Facility		$1,023.61	$1,815.40	$2,441.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $353.15 / $809.69 / $1,497.74	Professional		$353.15	$809.69	$1,497.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $596.40 / $927.46	Professional		$67.08	$596.40	$927.46
United Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $750.56 / $1,322.72	Professional		$347.28	$750.56	$1,322.72