Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.16 / $795.16 / $795.16	Facility		$795.16	$795.16	$795.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.16 / $795.16 / $795.16	Professional		$795.16	$795.16	$795.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.81 / $1,055.84 / $1,501.22	Facility		$1,000.81	$1,055.84	$1,501.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $530.44 / $1,464.59	Professional		$392.89	$530.44	$1,464.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $660.41 / $666.88 / $666.88	Professional		$660.41	$666.88	$666.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $1,048.36	Facility		$400.00	$400.00	$1,048.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $570.85	Professional		$450.00	$450.00	$570.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $1,048.36	Facility		$400.00	$400.00	$1,048.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $570.39 / $571.11	Professional		$450.00	$570.39	$571.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $349.50 / $611.62	Professional		$349.50	$349.50	$611.62
United Facility/Professional Professional Modifier Low / Median / High Price $493.44 / $629.05 / $755.37	Professional		$493.44	$629.05	$755.37