Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.20 / $1,560.38 / $2,815.12	Facility		$731.20	$1,560.38	$2,815.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $731.20 / $1,319.45	Professional		$719.07	$731.20	$1,319.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $846.27 / $1,462.85	Professional		$719.32	$846.27	$1,462.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.79 / $959.70 / $1,371.00	Facility		$687.79	$959.70	$1,371.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,188.20 / $2,193.60	Professional		$776.90	$1,188.20	$2,193.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $941.05 / $3,119.03	Facility		$594.10	$941.05	$3,119.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $800.84 / $1,770.67	Professional		$418.22	$800.84	$1,770.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $941.05 / $3,534.39	Facility		$594.10	$941.05	$3,534.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $491.77 / $1,989.13	Professional		$418.22	$491.77	$1,989.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $685.50 / $788.32 / $1,096.80	Professional		$685.50	$788.32	$1,096.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.80 / $1,096.80 / $1,096.80	Facility		$1,096.80	$1,096.80	$1,096.80
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,474.28	Professional		$383.88	$548.40	$1,474.28