Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.19 / $773.19 / $773.19	Facility		$773.19	$773.19	$773.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.84 / $773.19 / $1,013.95	Professional		$678.84	$773.19	$1,013.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.24 / $613.00 / $1,429.37	Professional		$573.24	$613.00	$1,429.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $143.94 / $1,319.90	Facility		$93.57	$143.94	$1,319.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $143.94 / $1,250.42	Professional		$93.57	$143.94	$1,250.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,360.42	Facility		$200.00	$200.00	$1,360.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $170.00 / $1,590.00	Professional		$98.81	$170.00	$1,590.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $400.00	Facility		$200.00	$200.00	$400.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $200.00 / $200.00	Professional		$98.81	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $164.67 / $1,132.06	Professional		$77.19	$164.67	$1,132.06
United Facility/Professional Professional Modifier Low / Median / High Price $390.56 / $554.38 / $805.32	Professional		$390.56	$554.38	$805.32