Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $787.69 / $958.64	Professional		$645.36	$787.69	$958.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $544.52 / $832.76	Professional		$402.47	$544.52	$832.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.31 / $881.33 / $1,142.64	Facility		$685.31	$881.33	$1,142.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.72 / $961.65 / $1,307.83	Professional		$712.72	$961.65	$1,307.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.52 / $967.44 / $1,538.64	Professional		$687.52	$967.44	$1,538.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $692.39 / $991.29 / $1,519.51	Professional		$692.39	$991.29	$1,519.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $406.11 / $527.94	Professional		$284.27	$406.11	$527.94
United Facility/Professional Professional Modifier Low / Median / High Price $388.73 / $548.37 / $955.28	Professional		$388.73	$548.37	$955.28