Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.42 / $535.42 / $611.48	Facility		$535.42	$535.42	$611.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.42 / $535.42 / $840.35	Professional		$535.42	$535.42	$840.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $686.82 / $1,369.00	Professional		$598.29	$686.82	$1,369.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $105.28 / $1,607.16	Facility		$77.70	$105.28	$1,607.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $136.61 / $1,366.09	Professional		$75.20	$136.61	$1,366.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $1,144.70	Facility		$546.85	$546.85	$1,144.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.85 / $739.60 / $1,471.88	Professional		$546.85	$739.60	$1,471.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $546.85 / $739.60	Professional		$81.44	$546.85	$739.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $196.43 / $1,309.53	Professional		$89.28	$196.43	$1,309.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $63.59 / $660.45	Professional		$35.97	$63.59	$660.45