Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.15 / $662.15 / $662.15	Facility		$662.15	$662.15	$662.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.15 / $761.94 / $1,021.50	Professional		$662.15	$761.94	$1,021.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $529.44 / $1,224.11	Professional		$529.40	$529.44	$1,224.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $123.28 / $1,189.84	Facility		$89.24	$123.28	$1,189.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $123.28 / $1,189.84	Professional		$80.13	$123.28	$1,189.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $1,370.86	Facility		$999.36	$999.36	$1,370.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $1,428.75	Professional		$849.46	$999.36	$1,428.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $1,113.21	Facility		$999.36	$999.36	$1,113.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $999.36	Professional		$849.46	$999.36	$999.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.10 / $141.02 / $969.50	Professional		$66.10	$141.02	$969.50
United Facility/Professional Professional Modifier Low / Median / High Price $393.45 / $558.97 / $811.36	Professional		$393.45	$558.97	$811.36