Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.03 / $569.03 / $569.03	Facility		$569.03	$569.03	$569.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $700.86 / $1,291.83	Professional		$569.03	$700.86	$1,291.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $1,071.00 / $3,123.03	Professional		$854.61	$1,071.00	$3,123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $117.22 / $2,166.44	Facility		$95.90	$117.22	$2,166.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $204.61 / $2,166.44	Professional		$76.44	$204.61	$2,166.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $2,511.56	Facility		$816.59	$816.59	$2,511.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $816.59 / $1,151.25	Professional		$694.10	$816.59	$1,151.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $1,099.28	Facility		$816.59	$816.59	$1,099.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $816.59 / $816.59	Professional		$70.70	$816.59	$816.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.73 / $285.29 / $1,961.38	Professional		$133.73	$285.29	$1,961.38
United Facility/Professional Professional Modifier Low / Median / High Price $337.36 / $558.91 / $846.39	Professional		$337.36	$558.91	$846.39