Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $559.40 / $559.40	Facility		$559.40	$559.40	$559.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $559.40 / $781.52	Professional		$559.40	$559.40	$781.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.70 / $982.00 / $1,571.68	Professional		$676.70	$982.00	$1,571.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $172.13 / $1,721.29	Facility		$86.58	$172.13	$1,721.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $180.73 / $1,807.36	Professional		$112.56	$180.73	$1,807.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $1,250.44	Facility		$360.90	$360.90	$1,250.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $360.90 / $1,233.75	Professional		$306.77	$360.90	$1,233.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $402.02	Facility		$360.90	$360.90	$402.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Professional		$360.90	$360.90	$360.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $146.62 / $1,466.28	Professional		$127.50	$146.62	$1,466.28
United Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $665.06 / $988.35	Professional		$484.18	$665.06	$988.35