Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.01 / $555.01 / $555.01	Facility		$555.01	$555.01	$555.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.01 / $638.70 / $831.04	Professional		$555.01	$638.70	$831.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.76 / $443.80 / $1,026.11	Professional		$443.76	$443.80	$1,026.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $103.33 / $997.39	Facility		$74.81	$103.33	$997.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $103.33 / $997.39	Professional		$74.80	$103.33	$997.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.79 / $746.73 / $1,149.03	Facility		$631.79	$746.73	$1,149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.72 / $746.73 / $1,196.25	Professional		$634.72	$746.73	$1,196.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $631.79 / $746.73 / $746.73	Facility		$631.79	$746.73	$746.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $634.72 / $746.73 / $746.73	Professional		$634.72	$746.73	$746.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $118.20 / $812.69	Professional		$55.41	$118.20	$812.69
United Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $468.19 / $680.12	Professional		$312.12	$468.19	$680.12