Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.55 / $542.55 / $542.55	Facility		$542.55	$542.55	$542.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $542.55 / $757.99	Professional		$460.08	$542.55	$757.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.60 / $1,254.86	Professional		$769.58	$769.60	$1,254.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $156.32 / $1,563.22	Facility		$95.77	$156.32	$1,563.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $164.13 / $1,641.38	Professional		$101.61	$164.13	$1,641.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.91 / $441.91 / $1,212.78	Facility		$441.91	$441.91	$1,212.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,543.13	Professional		$894.40	$894.40	$1,543.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.91 / $441.91 / $441.91	Facility		$441.91	$441.91	$441.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $894.40	Professional		$894.40	$894.40	$894.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $133.15 / $1,331.63	Professional		$115.79	$133.15	$1,331.63
United Facility/Professional Professional Modifier Low / Median / High Price $469.60 / $645.35 / $1,042.30	Professional		$469.60	$645.35	$1,042.30