Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.19 / $811.67 / $2,152.34	Facility		$289.19	$811.67	$2,152.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $308.83	Professional		$171.15	$171.15	$308.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $728.00 / $1,074.45	Professional		$650.00	$728.00	$1,074.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.60 / $539.60 / $659.51	Facility		$539.60	$539.60	$659.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $445.60 / $533.88	Professional		$204.84	$445.60	$533.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $581.40 / $1,084.09	Facility		$581.40	$581.40	$1,084.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $204.84 / $204.84	Professional		$204.84	$204.84	$204.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $95.77 / $95.77	Professional		$95.77	$95.77	$95.77