Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $446.74 / $446.74	Facility		$446.74	$446.74	$446.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $446.74 / $446.74	Professional		$412.99	$446.74	$446.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $261.20 / $420.55	Professional		$261.20	$261.20	$420.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $742.50 / $1,181.25	Facility		$438.75	$742.50	$1,181.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $573.75 / $708.75	Professional		$438.75	$573.75	$708.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $296.00 / $296.00	Facility		$64.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $251.60	Professional		$251.60	$251.60	$251.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $296.00 / $296.00	Professional		$251.60	$296.00	$296.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $650.00 / $1,179.34	Professional		$375.00	$650.00	$1,179.34