Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.79 / $569.79 / $569.79	Facility		$569.79	$569.79	$569.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $569.79 / $853.16	Professional		$557.34	$569.79	$853.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.46 / $455.50 / $1,053.50	Professional		$455.46	$455.50	$1,053.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $106.09 / $1,024.00	Facility		$76.80	$106.09	$1,024.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $106.09 / $1,024.00	Professional		$76.80	$106.09	$1,024.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.74 / $766.64 / $1,179.60	Facility		$388.74	$766.64	$1,179.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.64 / $651.64 / $1,537.50	Professional		$651.64	$651.64	$1,537.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $388.74 / $766.64 / $766.64	Facility		$388.74	$766.64	$766.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $651.64 / $766.64 / $766.64	Professional		$651.64	$766.64	$766.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $75.84 / $758.52	Professional		$47.00	$75.84	$758.52
United Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $480.47 / $697.96	Professional		$321.12	$480.47	$697.96