Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.74 / $658.74 / $2,741.00	Facility		$658.74	$658.74	$2,741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $702.12 / $1,002.08	Professional		$658.74	$702.12	$1,002.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $717.42 / $1,431.57	Professional		$717.40	$717.42	$1,431.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $123.36 / $1,201.50	Facility		$92.52	$123.36	$1,201.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $123.36 / $1,201.50	Professional		$80.18	$123.36	$1,201.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.40 / $775.91 / $1,030.33	Facility		$770.40	$775.91	$1,030.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $659.52 / $1,785.94	Professional		$659.52	$659.52	$1,785.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $746.67 / $775.91 / $775.91	Facility		$746.67	$775.91	$775.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $775.91 / $775.91	Professional		$659.52	$775.91	$775.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $146.85 / $979.00	Professional		$66.75	$146.85	$979.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $568.88 / $947.40	Professional		$382.01	$568.88	$947.40