Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.56 / $923.56 / $923.56	Facility		$923.56	$923.56	$923.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.94 / $923.56 / $1,208.55	Professional		$800.94	$923.56	$1,208.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.30 / $846.26 / $2,152.88	Professional		$738.30	$846.26	$2,152.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $171.95 / $1,659.45	Facility		$112.70	$171.95	$1,659.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $165.94 / $1,631.54	Professional		$111.77	$165.94	$1,631.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.91 / $441.91 / $1,670.98	Facility		$441.91	$441.91	$1,670.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $2,564.06	Professional		$1,232.30	$1,232.30	$2,564.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.91 / $441.91 / $441.91	Facility		$441.91	$441.91	$441.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $1,232.30 / $1,232.30	Professional		$124.95	$1,232.30	$1,232.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $196.67 / $1,352.14	Professional		$92.19	$196.67	$1,352.14
United Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $680.78 / $1,010.70	Professional		$479.58	$680.78	$1,010.70