Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $688.70 / $883.11	Facility		$674.00	$688.70	$883.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $688.70 / $847.61	Professional		$77.98	$688.70	$847.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.67 / $500.00 / $784.20	Professional		$165.67	$500.00	$784.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,047.64 / $13,047.64 / $16,078.09	Facility		$13,047.64	$13,047.64	$16,078.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $206.06 / $506.92	Professional		$62.31	$206.06	$506.92