Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.79 / $408.79 / $408.79	Facility		$408.79	$408.79	$408.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.79 / $408.79 / $571.11	Professional		$408.79	$408.79	$571.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.74 / $608.72 / $1,072.35	Professional		$579.74	$608.72	$1,072.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $122.67 / $1,226.79	Facility		$55.85	$122.67	$1,226.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $128.81 / $1,226.79	Professional		$79.73	$128.81	$1,226.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $913.79	Facility		$359.59	$359.59	$913.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $1,059.38	Professional		$305.64	$359.59	$1,059.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $400.58	Facility		$359.59	$359.59	$400.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Professional		$359.59	$359.59	$359.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $104.50 / $1,045.03	Professional		$90.87	$104.50	$1,045.03
United Facility/Professional Professional Modifier Low / Median / High Price $353.82 / $486.00 / $722.25	Professional		$353.82	$486.00	$722.25