Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.65 / $865.65 / $865.65	Facility		$865.65	$865.65	$865.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.36 / $865.65 / $1,373.76	Professional		$843.36	$865.65	$1,373.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.51 / $1,144.90 / $1,883.36	Professional		$1,138.51	$1,144.90	$1,883.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $162.12 / $1,370.98	Facility		$134.63	$162.12	$1,370.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $162.19 / $1,370.98	Professional		$105.43	$162.19	$1,370.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,792.15	Facility		$902.06	$902.06	$1,792.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $902.06 / $1,878.75	Professional		$766.75	$902.06	$1,878.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,137.15	Facility		$902.06	$902.06	$1,137.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $902.06 / $902.06	Professional		$766.75	$902.06	$902.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $609.32 / $913.98 / $1,269.42	Professional		$609.32	$913.98	$1,269.42
United Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $585.41 / $1,215.90	Facility		$73.79	$585.41	$1,215.90
United Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $796.74 / $1,156.26	Professional		$531.16	$796.74	$1,156.26