Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.74 / $905.74 / $905.74	Facility		$905.74	$905.74	$905.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.48 / $905.74 / $1,438.56	Professional		$882.48	$905.74	$1,438.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.22 / $1,198.81 / $3,278.00	Professional		$1,192.22	$1,198.81	$3,278.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $297.11 / $992.79	Facility		$152.66	$297.11	$992.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $280.60 / $1,435.66	Professional		$144.18	$280.60	$1,435.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,874.91	Facility		$799.37	$799.37	$1,874.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $1,965.00	Professional		$679.46	$799.37	$1,965.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,189.80	Facility		$799.37	$799.37	$1,189.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $799.37	Professional		$679.46	$799.37	$799.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $957.10 / $1,329.31	Professional		$638.07	$957.10	$1,329.31
United Facility/Professional Professional Modifier Low / Median / High Price $555.84 / $1,070.42 / $1,890.07	Professional		$555.84	$1,070.42	$1,890.07