Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.02 / $609.02 / $609.02	Facility		$609.02	$609.02	$609.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $609.02 / $775.11	Professional		$595.67	$609.02	$775.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $542.62 / $1,419.80	Professional		$486.90	$542.62	$1,419.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $113.39 / $1,094.34	Facility		$73.70	$113.39	$1,094.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $109.43 / $1,046.40	Professional		$73.70	$109.43	$1,046.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $1,071.48	Facility		$428.20	$428.20	$1,071.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $428.20 / $1,117.50	Professional		$363.97	$428.20	$1,117.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $428.20 / $428.20	Professional		$363.97	$428.20	$428.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $129.69 / $891.69	Professional		$60.79	$129.69	$891.69
United Facility/Professional Professional Modifier Low / Median / High Price $307.66 / $436.68 / $636.16	Professional		$307.66	$436.68	$636.16