Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.49 / $556.49 / $2,762.00	Facility		$556.49	$556.49	$2,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $817.62 / $1,114.07	Professional		$556.49	$817.62	$1,114.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $1,287.00 / $1,992.79	Professional		$258.02	$1,287.00	$1,992.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $109.42 / $145.88	Facility		$78.55	$109.42	$145.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $104.21 / $223.13	Professional		$68.06	$104.21	$223.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $845.38 / $1,083.41	Facility		$64.00	$845.38	$1,083.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $1,242.00	Facility		$845.38	$845.38	$1,242.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $83.28 / $856.33	Professional		$43.75	$83.28	$856.33