Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $1,305.80 / $1,897.63	Facility		$607.24	$1,305.80	$1,897.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $607.24 / $759.05	Professional		$455.43	$607.24	$759.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.24 / $834.96 / $1,343.29	Facility		$670.24	$834.96	$1,343.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $303.62 / $885.35	Professional		$303.62	$303.62	$885.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.19 / $834.96 / $1,127.39	Facility		$645.19	$834.96	$1,127.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $986.77 / $1,625.28	Professional		$493.38	$986.77	$1,625.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.12 / $781.51 / $2,935.19	Facility		$385.12	$781.51	$2,935.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $547.59 / $1,470.31	Professional		$347.23	$547.59	$1,470.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $385.12 / $781.51 / $2,935.19	Facility		$385.12	$781.51	$2,935.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $408.44 / $1,391.40	Professional		$347.23	$408.44	$1,391.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $654.68 / $910.86	Professional		$569.29	$654.68	$910.86
United Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $910.86 / $910.86	Facility		$910.86	$910.86	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,105.94	Professional		$318.80	$455.43	$1,105.94