Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $797.78 / $1,294.51	Facility		$495.98	$797.78	$1,294.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $797.78	Professional		$495.98	$495.98	$797.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.89 / $481.41 / $1,208.96	Facility		$289.89	$481.41	$1,208.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $526.98 / $875.33	Professional		$480.00	$526.98	$875.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,933.60 / $6,933.60 / $11,787.12	Facility		$6,933.60	$6,933.60	$11,787.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,136.00 / $6,933.60 / $6,933.60	Professional		$5,136.00	$6,933.60	$6,933.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $619.98	Professional		$526.98	$526.98	$619.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $928.05 / $928.05 / $928.05	Facility		$928.05	$928.05	$928.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $619.98	Professional		$526.98	$526.98	$619.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,649.60 / $9,193.44 / $12,114.28	Professional		$5,649.60	$9,193.44	$12,114.28
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $676.81	Professional		$516.65	$516.65	$676.81