Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,838.00 / $14,261.50	Facility		$1,200.00	$1,838.00	$14,261.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,275.00	Professional		$1,200.00	$1,200.00	$1,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,200.00 / $1,918.23	Professional		$1,000.00	$1,200.00	$1,918.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,166.33 / $1,341.28 / $1,732.31	Facility		$1,166.33	$1,341.28	$1,732.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,166.33 / $1,166.33	Professional		$1,166.33	$1,166.33	$1,166.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,500.00	Professional		$1,275.00	$1,275.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,551.25	Professional		$1,250.00	$1,250.00	$1,551.25