Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $1,270.35 / $2,829.40	Facility		$513.41	$1,270.35	$2,829.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $798.38 / $798.38	Professional		$424.17	$798.38	$798.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.60 / $49.59	Professional		$30.00	$33.60	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $856.95 / $856.95 / $1,047.39	Facility		$856.95	$856.95	$1,047.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.54 / $478.54 / $478.54	Facility		$478.54	$478.54	$478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,089.58 / $1,089.58 / $1,089.58	Facility		$1,089.58	$1,089.58	$1,089.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
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 $440.40 / $440.40 / $462.42	Professional		$440.40	$440.40	$462.42