Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $280.86 / $744.23	Facility		$280.86	$280.86	$744.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $429.48	Professional		$280.86	$412.43	$429.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $34.50 / $51.94	Professional		$30.00	$34.50	$51.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.45 / $284.45 / $347.66	Facility		$284.45	$284.45	$347.66
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 $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,303.98 / $1,303.98 / $1,303.98	Facility		$1,303.98	$1,303.98	$1,303.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $128.47 / $128.47	Professional		$128.47	$128.47	$128.47