Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.02 / $625.02 / $625.02	Facility		$625.02	$625.02	$625.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.02 / $652.98 / $846.95	Professional		$625.02	$652.98	$846.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $499.60 / $1,155.25	Professional		$499.56	$499.60	$1,155.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $116.37 / $1,122.90	Facility		$84.22	$116.37	$1,122.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $116.37 / $1,122.90	Professional		$75.64	$116.37	$1,122.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $840.94 / $1,294.06	Facility		$336.49	$840.94	$1,294.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $840.94 / $1,586.25	Professional		$714.80	$840.94	$1,586.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $840.94 / $840.94	Facility		$336.49	$840.94	$840.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $840.94 / $840.94	Professional		$714.80	$840.94	$840.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $133.08 / $914.95	Professional		$62.38	$133.08	$914.95
United Facility/Professional Professional Modifier Low / Median / High Price $352.16 / $527.03 / $782.45	Professional		$352.16	$527.03	$782.45