Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $555.45 / $555.45	Facility		$555.45	$555.45	$555.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $555.45 / $706.93	Professional		$532.91	$555.45	$706.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.56 / $440.40 / $1,026.86	Professional		$421.56	$440.40	$1,026.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.22 / $103.41 / $970.58	Facility		$67.22	$103.41	$970.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $103.41 / $905.88	Professional		$67.22	$103.41	$905.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $977.54	Facility		$422.72	$422.72	$977.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $359.31 / $1,326.56	Professional		$359.31	$359.31	$1,326.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $422.72	Facility		$422.72	$422.72	$422.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $422.72 / $422.72	Professional		$359.31	$422.72	$422.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $118.30 / $813.28	Professional		$55.45	$118.30	$813.28
United Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $398.24 / $578.52	Professional		$266.04	$398.24	$578.52