Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.04 / $772.04 / $772.04	Facility		$772.04	$772.04	$772.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.56 / $772.04 / $1,152.10	Professional		$748.56	$772.04	$1,152.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $617.29 / $1,427.25	Professional		$617.28	$617.29	$1,427.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $143.74 / $1,387.29	Facility		$104.05	$143.74	$1,387.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $143.74 / $1,387.29	Professional		$104.04	$143.74	$1,387.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.79 / $431.79 / $1,546.08	Facility		$431.79	$431.79	$1,546.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $1,140.20 / $2,371.88	Professional		$121.39	$1,140.20	$2,371.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $431.79 / $431.79 / $431.79	Facility		$431.79	$431.79	$431.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $121.39 / $1,140.20	Professional		$115.61	$121.39	$1,140.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $164.41 / $1,130.38	Professional		$77.06	$164.41	$1,130.38
United Facility/Professional Professional Modifier Low / Median / High Price $443.73 / $629.86 / $914.98	Professional		$443.73	$629.86	$914.98