Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.48 / $387.48 / $898.00	Facility		$387.48	$387.48	$898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $405.30 / $617.89	Professional		$387.48	$405.30	$617.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $428.60 / $855.23	Professional		$428.58	$428.60	$855.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $72.83 / $765.45	Facility		$54.42	$72.83	$765.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $76.19 / $765.45	Professional		$49.75	$76.19	$765.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $840.40	Facility		$370.80	$370.80	$840.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $315.18 / $862.50	Professional		$315.18	$315.18	$862.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $491.73	Facility		$370.80	$370.80	$491.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $370.80 / $370.80	Professional		$315.18	$370.80	$370.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $93.55 / $623.70	Professional		$42.52	$93.55	$623.70
United Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $328.22 / $501.50	Professional		$211.05	$328.22	$501.50