Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.29 / $901.29 / $901.29	Facility		$901.29	$901.29	$901.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $963.48 / $1,256.89	Professional		$901.29	$963.48	$1,256.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $720.70 / $1,666.37	Professional		$720.66	$720.70	$1,666.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.91 / $167.80 / $1,619.72	Facility		$116.91	$167.80	$1,619.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $165.05 / $1,619.72	Professional		$119.20	$165.05	$1,619.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $1,733.24	Facility		$511.03	$511.03	$1,733.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $511.03 / $1,807.50	Professional		$434.38	$511.03	$1,807.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $569.25	Facility		$511.03	$511.03	$569.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $511.03 / $511.03	Professional		$434.38	$511.03	$511.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $191.96 / $1,319.76	Professional		$89.98	$191.96	$1,319.76
United Facility/Professional Professional Modifier Low / Median / High Price $514.30 / $706.70 / $1,025.79	Professional		$514.30	$706.70	$1,025.79