Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.63 / $394.63 / $1,727.00	Facility		$394.63	$394.63	$1,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $503.94 / $855.26	Professional		$394.63	$503.94	$855.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $842.80 / $1,679.75	Professional		$674.21	$842.80	$1,679.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $100.14 / $805.23	Facility		$64.69	$100.14	$805.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $121.71 / $1,134.88	Professional		$55.43	$121.71	$1,134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $1,404.60	Facility		$578.29	$578.29	$1,404.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $578.29 / $866.25	Professional		$491.56	$578.29	$866.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $764.37	Facility		$578.29	$578.29	$764.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $578.29 / $578.29	Professional		$36.36	$578.29	$578.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $163.18 / $1,087.90	Professional		$74.17	$163.18	$1,087.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $82.32 / $762.66	Professional		$32.13	$82.32	$762.66