Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.35 / $2,060.44 / $3,689.65	Facility		$958.35	$2,060.44	$3,689.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $958.35 / $1,054.18	Professional		$812.00	$958.35	$1,054.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $432.00 / $1,557.32	Professional		$360.00	$432.00	$1,557.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,497.43 / $1,796.91	Facility		$1,197.94	$1,497.43	$1,796.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,557.32 / $1,617.22 / $2,875.06	Professional		$1,557.32	$1,617.22	$2,875.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $2,442.96 / $7,820.56	Facility		$1,319.50	$2,442.96	$7,820.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.59 / $624.15 / $1,636.78	Professional		$545.59	$624.15	$1,636.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $2,442.96 / $7,820.56	Facility		$1,319.50	$2,442.96	$7,820.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $545.59 / $624.15 / $1,636.78	Professional		$545.59	$624.15	$1,636.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $988.30	Professional		$60.00	$60.00	$988.30
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,569.30	Professional		$487.20	$696.00	$1,569.30