Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.18 / $747.18 / $747.18	Facility		$747.18	$747.18	$747.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.18 / $811.32 / $1,055.59	Professional		$747.18	$811.32	$1,055.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.29 / $658.58 / $1,381.37	Professional		$597.29	$658.58	$1,381.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $139.11 / $1,342.70	Facility		$98.58	$139.11	$1,342.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $134.27 / $1,342.70	Professional		$90.42	$134.27	$1,342.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $1,459.60	Facility		$707.88	$707.88	$1,459.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $707.88 / $1,563.75	Professional		$601.70	$707.88	$1,563.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $788.52	Facility		$707.88	$707.88	$788.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $707.88 / $707.88	Professional		$114.60	$707.88	$707.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $159.13 / $1,094.04	Professional		$74.59	$159.13	$1,094.04
United Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $594.59 / $863.75	Professional		$418.93	$594.59	$863.75