Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.60 / $705.60 / $705.60	Facility		$705.60	$705.60	$705.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $705.60 / $1,193.64	Professional		$698.82	$705.60	$1,193.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.34 / $994.70 / $2,079.04	Professional		$989.34	$994.70	$2,079.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.31 / $132.13 / $1,243.88	Facility		$112.31	$132.13	$1,243.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $140.88 / $1,382.09	Professional		$91.58	$140.88	$1,382.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $1,519.55	Facility		$867.37	$867.37	$1,519.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $1,530.00	Professional		$737.26	$867.37	$1,530.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $926.82	Facility		$867.37	$867.37	$926.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $867.37	Professional		$737.26	$867.37	$867.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $614.26 / $921.39 / $1,279.71	Professional		$614.26	$921.39	$1,279.71
United Facility/Professional Professional Modifier Low / Median / High Price $440.16 / $678.20 / $994.70	Professional		$440.16	$678.20	$994.70