Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.72 / $753.72 / $753.72	Facility		$753.72	$753.72	$753.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.28 / $753.72 / $1,188.57	Professional		$737.28	$753.72	$1,188.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.04 / $990.50 / $1,629.37	Professional		$985.04	$990.50	$1,629.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.27 / $140.32 / $1,186.16	Facility		$119.27	$140.32	$1,186.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $147.34 / $1,186.16	Professional		$98.22	$147.34	$1,186.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $1,560.25	Facility		$606.51	$606.51	$1,560.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $1,627.50	Professional		$515.53	$606.51	$1,627.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $606.51	Facility		$606.51	$606.51	$606.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $606.51	Professional		$515.53	$606.51	$606.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $527.18 / $790.77 / $1,098.30	Professional		$527.18	$790.77	$1,098.30
United Facility/Professional Professional Modifier Low / Median / High Price $465.20 / $697.80 / $1,092.41	Professional		$465.20	$697.80	$1,092.41