Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.54 / $271.54 / $271.54	Facility		$271.54	$271.54	$271.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $453.25 / $829.92	Professional		$271.54	$453.25	$829.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.47 / $801.84 / $1,576.00	Professional		$641.47	$801.84	$1,576.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $55.94 / $1,378.68	Facility		$45.77	$55.94	$1,378.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $122.04 / $1,378.68	Professional		$36.68	$122.04	$1,378.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $1,880.29	Facility		$654.00	$654.75	$1,880.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $600.00 / $918.65	Professional		$414.40	$600.00	$918.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $766.38	Facility		$654.00	$654.75	$766.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $654.75 / $654.75	Professional		$556.54	$654.75	$654.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $181.55 / $1,248.19	Professional		$85.10	$181.55	$1,248.19
United Facility/Professional Professional Modifier Low / Median / High Price $265.19 / $418.38 / $633.74	Professional		$265.19	$418.38	$633.74