Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,380.38	Facility		$707.95	$1,023.29	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,348.96	Professional		$707.95	$1,023.29	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,023.29 / $1,445.44	Professional		$234.42	$1,023.29	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $173.78	Facility		$67.61	$134.90	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $181.97	Professional		$87.10	$165.96	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,202.26 / $1,949.84	Facility		$194.98	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Professional		$794.33	$794.33	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $954.99 / $1,513.56	Facility		$151.36	$954.99	$1,513.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $1,348.96	Professional		$107.15	$218.78	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $3,388.44	Facility		$93.33	$125.89	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $912.01	Professional		$54.95	$123.03	$912.01