Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,023.29	Professional		$537.03	$676.08	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,258.93	Professional		$776.25	$954.99	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $1,000.00	Facility		$66.07	$100.00	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $1,174.90	Professional		$85.11	$117.49	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,230.27	Professional		$891.25	$891.25	$1,230.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $1,288.25	Professional		$114.82	$131.83	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $575.44 / $1,096.48	Facility		$72.44	$575.44	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $977.24	Professional		$426.58	$645.65	$977.24