Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $1,522.00	Facility		$655.29	$655.29	$1,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $674.96	Professional		$655.29	$655.29	$674.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $753.59 / $1,297.49	Professional		$655.29	$753.59	$1,297.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $1,114.01	Facility		$655.29	$655.29	$1,114.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $884.66	Professional		$655.29	$655.29	$884.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $618.21 / $655.29	Facility		$618.21	$618.21	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $927.31	Professional		$655.29	$655.29	$927.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,537.00 / $1,537.00 / $1,537.00	Facility		$1,537.00	$1,537.00	$1,537.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,204.44	Professional		$655.29	$655.29	$1,204.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $1,034.16	Professional		$40.00	$50.00	$1,034.16
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $842.72	Professional		$655.29	$655.29	$842.72