Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.09 / $1,229.14 / $2,405.62	Facility		$710.09	$1,229.14	$2,405.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.09 / $710.09 / $1,257.56	Professional		$710.09	$710.09	$1,257.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $758.66 / $1,189.28	Professional		$601.64	$758.66	$1,189.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $444.13 / $1,087.35	Facility		$305.00	$444.13	$1,087.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $476.39 / $805.31	Professional		$328.92	$476.39	$805.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.33 / $2,373.60 / $3,309.75	Facility		$1,134.33	$2,373.60	$3,309.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.55 / $961.58 / $1,760.35	Professional		$698.55	$961.58	$1,760.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,134.33 / $2,373.60 / $3,309.75	Facility		$1,134.33	$2,373.60	$3,309.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $691.37 / $958.69 / $1,639.91	Professional		$691.37	$958.69	$1,639.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.18 / $558.68 / $1,078.94	Professional		$327.18	$558.68	$1,078.94
United Facility/Professional Professional Modifier Low / Median / High Price $561.95 / $802.97 / $1,457.15	Professional		$561.95	$802.97	$1,457.15