Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.96 / $399.96 / $399.96	Facility		$399.96	$399.96	$399.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.96 / $505.92 / $906.10	Professional		$399.96	$505.92	$906.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $669.10 / $1,547.25	Professional		$610.39	$669.10	$1,547.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $82.39 / $1,353.54	Facility		$67.41	$82.39	$1,353.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $127.83 / $1,353.53	Professional		$54.23	$127.83	$1,353.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $1,763.55	Facility		$612.00	$612.00	$1,763.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $520.20 / $817.50	Professional		$382.00	$520.20	$817.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $722.45	Facility		$612.00	$612.00	$722.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $612.00 / $612.00	Professional		$63.02	$612.00	$612.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $178.24 / $1,225.42	Professional		$83.55	$178.24	$1,225.42
United Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $406.22 / $594.66	Professional		$237.47	$406.22	$594.66