Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.46 / $746.46 / $2,302.00	Facility		$746.46	$746.46	$2,302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.46 / $803.22 / $1,167.04	Professional		$746.46	$803.22	$1,167.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.40 / $837.42 / $1,671.03	Professional		$837.40	$837.42	$1,671.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $139.79 / $1,377.00	Facility		$104.84	$139.79	$1,377.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $139.79 / $1,377.00	Professional		$90.86	$139.79	$1,377.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.54 / $881.10 / $1,167.58	Facility		$871.54	$881.10	$1,167.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $748.94 / $1,620.00	Professional		$748.94	$748.94	$1,620.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $805.76 / $881.10 / $881.10	Facility		$805.76	$881.10	$881.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $881.10	Professional		$748.94	$881.10	$881.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $168.30 / $1,122.00	Professional		$76.50	$168.30	$1,122.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.18 / $756.27 / $1,098.60	Professional		$504.18	$756.27	$1,098.60