Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.47 / $970.36 / $1,184.23	Professional		$715.47	$970.36	$1,184.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.94 / $903.74 / $1,394.56	Professional		$661.94	$903.74	$1,394.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $943.81 / $1,132.57 / $1,401.80	Facility		$943.81	$1,132.57	$1,401.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.90 / $1,179.76 / $1,321.33	Professional		$731.90	$1,179.76	$1,321.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.83 / $1,132.57 / $1,848.76	Professional		$793.83	$1,132.57	$1,848.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $804.34 / $1,172.59 / $1,848.76	Professional		$804.34	$1,172.59	$1,848.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.71 / $1,048.01 / $1,492.58	Professional		$806.71	$1,048.01	$1,492.58
United Facility/Professional Professional Modifier Low / Median / High Price $656.09 / $876.66 / $1,615.92	Professional		$656.09	$876.66	$1,615.92