Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.41 / $592.41 / $592.41	Facility		$592.41	$592.41	$592.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $592.41 / $776.85	Professional		$579.48	$592.41	$776.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.78 / $469.90 / $1,095.25	Professional		$402.78	$469.90	$1,095.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $110.30 / $927.65	Facility		$70.37	$110.30	$927.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $106.46 / $958.12	Professional		$71.70	$106.46	$958.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $1,042.41	Facility		$400.00	$400.00	$1,042.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $768.75 / $1,542.19	Professional		$81.84	$768.75	$1,542.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $81.84 / $768.75	Professional		$75.70	$81.84	$768.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $126.17 / $867.43	Professional		$59.14	$126.17	$867.43
United Facility/Professional Professional Modifier Low / Median / High Price $283.77 / $425.13 / $598.66	Professional		$283.77	$425.13	$598.66