Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.72 / $698.72 / $698.72	Facility		$698.72	$698.72	$698.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.72 / $804.06 / $1,077.96	Professional		$698.72	$804.06	$1,077.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.60 / $647.97 / $1,628.87	Professional		$558.60	$647.97	$1,628.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $130.09 / $1,255.58	Facility		$94.17	$130.09	$1,255.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $130.09 / $1,255.58	Professional		$94.17	$130.09	$1,255.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $1,446.55	Facility		$469.00	$469.00	$1,446.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $1,706.25	Professional		$398.65	$469.00	$1,706.25
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 $69.75 / $148.81 / $1,023.06	Professional		$69.75	$148.81	$1,023.06
United Facility/Professional Professional Modifier Low / Median / High Price $415.19 / $589.90 / $769.26	Professional		$415.19	$589.90	$769.26