Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $758.58	Professional		$407.38	$512.86	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,000.00	Professional		$575.44	$912.01	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $812.83	Facility		$53.70	$81.28	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $977.24	Professional		$70.79	$97.72	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Facility		$363.08	$363.08	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $851.14	Professional		$309.03	$309.03	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Facility		$363.08	$363.08	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $363.08	Professional		$309.03	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $1,000.00	Professional		$91.20	$104.71	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $416.87 / $831.76	Facility		$48.98	$416.87	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $741.31	Professional		$323.59	$489.78	$741.31