Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.63 / $839.63 / $839.63	Facility		$839.63	$839.63	$839.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $943.38 / $1,179.99	Professional		$839.63	$943.38	$1,179.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.30 / $771.00 / $1,552.25	Professional		$671.30	$771.00	$1,552.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.16 / $156.32 / $1,508.79	Facility		$113.16	$156.32	$1,508.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $152.63 / $1,508.79	Professional		$105.01	$152.63	$1,508.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $1,697.08	Facility		$860.04	$860.04	$1,697.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $2,081.25	Professional		$731.03	$860.04	$2,081.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $958.03	Facility		$860.04	$860.04	$958.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $860.04	Professional		$731.03	$860.04	$860.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $178.81 / $1,229.38	Professional		$83.82	$178.81	$1,229.38
United Facility/Professional Professional Modifier Low / Median / High Price $461.99 / $691.48 / $974.44	Professional		$461.99	$691.48	$974.44