Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $839.00	Facility		$718.00	$718.00	$839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $762.88	Professional		$718.00	$718.00	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,049.66 / $1,520.01	Professional		$919.55	$1,049.66	$1,520.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,334.49 / $1,675.88 / $2,048.29	Facility		$1,334.49	$1,675.88	$2,048.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $897.50	Professional		$762.88	$762.88	$897.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $897.50	Professional		$762.88	$762.88	$897.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,149.43 / $1,333.34	Professional		$919.55	$1,149.43	$1,333.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,600.75	Professional		$1,997.50	$1,997.50	$2,600.75