Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.04 / $2,221.04 / $3,602.08	Facility		$747.04	$2,221.04	$3,602.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $747.04 / $1,010.42	Professional		$690.18	$747.04	$1,010.42
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 $1,126.45 / $1,126.45 / $1,376.78	Facility		$1,126.45	$1,126.45	$1,376.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,027.47 / $1,790.17 / $2,373.69	Facility		$1,027.47	$1,790.17	$2,373.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
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 $459.56 / $459.56 / $459.56	Professional		$459.56	$459.56	$459.56