Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.34 / $764.34 / $764.34	Facility		$764.34	$764.34	$764.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.46 / $764.34 / $1,002.33	Professional		$695.46	$764.34	$1,002.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $681.00 / $1,781.67	Professional		$611.00	$681.00	$1,781.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $142.31 / $1,373.31	Facility		$92.50	$142.31	$1,373.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $137.34 / $1,313.27	Professional		$92.50	$137.34	$1,313.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.82 / $450.00 / $1,344.76	Facility		$395.82	$450.00	$1,344.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $1,410.00	Professional		$382.50	$450.00	$1,410.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $395.82 / $450.00 / $450.00	Facility		$395.82	$450.00	$450.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $450.00	Professional		$382.50	$450.00	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $162.76 / $1,118.99	Professional		$76.29	$162.76	$1,118.99
United Facility/Professional Professional Modifier Low / Median / High Price $385.97 / $548.46 / $796.11	Professional		$385.97	$548.46	$796.11