Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.60 / $672.60 / $672.60	Facility		$672.60	$672.60	$672.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $736.56 / $1,000.33	Professional		$672.60	$736.56	$1,000.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $555.59 / $1,243.50	Professional		$537.70	$555.59	$1,243.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $125.22 / $1,208.68	Facility		$90.54	$125.22	$1,208.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $120.87 / $1,208.68	Professional		$81.39	$120.87	$1,208.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $1,342.15	Facility		$999.36	$999.36	$1,342.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $1,646.25	Professional		$849.46	$999.36	$1,646.25
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 $67.14 / $143.24 / $984.85	Professional		$67.14	$143.24	$984.85
United Facility/Professional Professional Modifier Low / Median / High Price $385.29 / $546.85 / $794.38	Professional		$385.29	$546.85	$794.38