Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.28 / $387.28 / $387.28	Facility		$387.28	$387.28	$387.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $387.28 / $541.05	Professional		$387.28	$387.28	$541.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.23 / $549.23 / $879.04	Professional		$549.23	$549.23	$879.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $129.32 / $1,293.11	Facility		$58.11	$129.32	$1,293.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $135.78 / $1,293.11	Professional		$84.06	$135.78	$1,293.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $865.69	Facility		$200.00	$200.00	$865.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $179.00 / $551.25	Professional		$170.00	$179.00	$551.25
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 $179.00 / $200.00 / $200.00	Professional		$179.00	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $110.15 / $1,101.55	Professional		$95.79	$110.15	$1,101.55
United Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $471.13 / $668.32	Professional		$335.20	$471.13	$668.32