Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,352.28 / $1,939.23	Facility		$575.44	$1,352.28	$1,939.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $611.41	Professional		$575.44	$575.44	$611.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $612.00 / $971.85	Professional		$520.20	$612.00	$971.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.74 / $418.74 / $439.68	Facility		$418.74	$418.74	$439.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.74 / $418.74 / $418.74	Professional		$418.74	$418.74	$418.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Facility		$611.41	$611.41	$611.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $719.30	Professional		$611.41	$611.41	$719.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,081.60 / $2,081.60 / $2,084.71	Facility		$2,081.60	$2,081.60	$2,084.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $916.16	Professional		$611.41	$611.41	$916.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $895.18	Professional		$683.34	$683.34	$895.18