Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.93 / $259.93 / $259.93	Facility		$259.93	$259.93	$259.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $323.16 / $569.87	Professional		$259.93	$323.16	$569.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.78 / $491.00 / $1,135.25	Professional		$392.78	$491.00	$1,135.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.51 / $52.71 / $827.60	Facility		$36.51	$52.71	$827.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $93.80 / $937.94	Professional		$36.51	$93.80	$937.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $1,151.33	Facility		$329.00	$329.00	$1,151.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $660.94	Professional		$279.64	$279.64	$660.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $449.38	Facility		$329.00	$329.00	$449.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $329.00 / $329.00	Professional		$41.42	$329.00	$329.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $130.78 / $899.11	Professional		$61.30	$130.78	$899.11
United Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $265.05 / $387.94	Professional		$139.30	$265.05	$387.94