Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,928.90 / $7,725.64	Facility		$771.56	$1,928.90	$7,725.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.55 / $1,736.48 / $3,611.99	Professional		$771.55	$1,736.48	$3,611.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.28 / $1,347.53 / $2,214.38	Facility		$833.28	$1,347.53	$2,214.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,465.96	Professional		$771.56	$771.56	$1,465.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $790.04 / $1,159.61	Facility		$771.56	$790.04	$1,159.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $790.04 / $1,041.60	Professional		$771.56	$790.04	$1,041.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $771.56	Facility		$727.88	$727.88	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,484.47	Professional		$771.56	$771.56	$1,484.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $433.01 / $1,094.88 / $1,703.69	Facility		$433.01	$1,094.88	$1,703.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,484.47	Professional		$771.56	$771.56	$1,484.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $869.04 / $994.82 / $1,145.55	Professional		$869.04	$994.82	$1,145.55
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,004.57	Professional		$771.56	$771.56	$1,004.57