Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,290.00 / $2,310.00	Facility		$600.00	$1,290.00	$2,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $712.50	Professional		$600.00	$600.00	$712.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $1,200.38	Professional		$10.73	$10.73	$1,200.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $975.00 / $17,550.00	Facility		$637.50	$975.00	$17,550.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $1,012.50 / $20,757.06	Professional		$637.50	$1,012.50	$20,757.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $772.20 / $4,280.25	Facility		$487.50	$772.20	$4,280.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $861.93 / $1,077.41	Professional		$487.50	$861.93	$1,077.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $772.20 / $4,280.25	Facility		$487.50	$772.20	$4,280.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $487.50 / $487.50	Professional		$487.50	$487.50	$487.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $618.75 / $1,500.00	Professional		$618.75	$618.75	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $982.50	Professional		$315.00	$450.00	$982.50