Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.00 / $818.00 / $873.00	Facility		$626.00	$818.00	$873.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $355.88 / $384.00	Professional		$355.88	$355.88	$384.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $384.00 / $583.28	Professional		$355.88	$384.00	$583.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $480.44 / $480.44 / $816.75	Facility		$480.44	$480.44	$816.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $480.44 / $480.44	Professional		$355.88	$480.44	$480.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $480.00	Professional		$408.00	$408.00	$480.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $693.96 / $1,022.69	Professional		$391.46	$693.96	$1,022.69
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $602.88	Professional		$480.00	$480.00	$602.88