Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.59 / $754.59 / $754.59	Facility		$754.59	$754.59	$754.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $754.59 / $754.59	Professional		$678.78	$754.59	$754.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.90 / $1,060.67 / $1,697.60	Professional		$1,031.90	$1,060.67	$1,697.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.25 / $945.00 / $61,249.39	Facility		$614.25	$945.00	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $614.25 / $803.25 / $992.25	Professional		$614.25	$803.25	$992.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $536.83 / $536.83	Facility		$64.00	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $456.31 / $536.83	Professional		$456.31	$456.31	$536.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Professional		$536.83	$536.83	$536.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $910.00 / $1,651.09	Professional		$525.00	$910.00	$1,651.09