Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.10 / $843.10 / $843.10	Facility		$843.10	$843.10	$843.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.10 / $869.04 / $1,195.32	Professional		$843.10	$869.04	$1,195.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $674.04 / $1,558.75	Professional		$674.00	$674.04	$1,558.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $156.97 / $1,515.11	Facility		$108.19	$156.97	$1,515.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $151.51 / $1,453.98	Professional		$102.03	$151.51	$1,453.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $1,042.44 / $1,603.87	Facility		$569.25	$1,042.44	$1,603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.07 / $886.07 / $2,090.63	Professional		$886.07	$886.07	$2,090.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $1,042.44 / $1,042.44	Facility		$569.25	$1,042.44	$1,042.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $886.07 / $1,042.44 / $1,042.44	Professional		$886.07	$1,042.44	$1,042.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $179.56 / $1,234.53	Professional		$84.17	$179.56	$1,234.53
United Facility/Professional Professional Modifier Low / Median / High Price $436.75 / $653.44 / $949.23	Professional		$436.75	$653.44	$949.23