Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $673.00	Facility		$461.36	$461.36	$673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $475.20	Professional		$461.36	$461.36	$475.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $530.55 / $895.77	Professional		$461.36	$530.55	$895.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $784.31	Facility		$461.36	$461.36	$784.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $622.84	Professional		$461.36	$461.36	$622.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $435.24 / $461.36	Facility		$435.24	$435.24	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $652.86	Professional		$461.36	$461.36	$652.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $1,417.80	Facility		$1,417.80	$1,417.80	$1,417.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $652.86	Professional		$461.36	$461.36	$652.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.34 / $507.49 / $551.70	Professional		$363.34	$507.49	$551.70
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $593.30	Professional		$461.36	$461.36	$593.30