Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.04 / $636.04 / $636.04	Facility		$636.04	$636.04	$636.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $636.04 / $789.60	Professional		$625.10	$636.04	$789.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.34 / $1,488.91 / $2,382.26	Facility		$1,080.34	$1,488.91	$2,382.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.94 / $845.23 / $1,775.66	Professional		$608.94	$845.23	$1,775.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $856.63 / $1,320.16	Facility		$99.01	$856.63	$1,320.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $828.25 / $1,471.28	Professional		$99.01	$828.25	$1,471.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $1,339.99	Facility		$394.97	$394.97	$1,339.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $335.72 / $1,311.75	Professional		$288.33	$335.72	$1,311.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $394.97 / $394.97	Professional		$335.72	$394.97	$394.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $755.10 / $943.88 / $1,361.16	Professional		$755.10	$943.88	$1,361.16
United Facility/Professional Professional Modifier Low / Median / High Price $400.94 / $608.94 / $873.64	Professional		$400.94	$608.94	$873.64