Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.00 / $946.00 / $946.00	Facility		$946.00	$946.00	$946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.32 / $946.00 / $1,204.00	Professional		$925.32	$946.00	$1,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.40 / $756.42 / $1,749.00	Professional		$756.40	$756.42	$1,749.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $176.13 / $1,700.03	Facility		$121.01	$176.13	$1,700.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $176.13 / $1,625.40	Professional		$114.48	$176.13	$1,625.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $1,664.64	Facility		$469.00	$469.00	$1,664.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $398.65 / $2,198.44	Professional		$398.65	$398.65	$2,198.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $522.45	Facility		$469.00	$469.00	$522.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $469.00	Professional		$398.65	$469.00	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $201.48 / $1,385.20	Professional		$94.44	$201.48	$1,385.20
United Facility/Professional Professional Modifier Low / Median / High Price $477.88 / $678.20 / $985.20	Professional		$477.88	$678.20	$985.20