Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.60 / $1,447.60 / $1,447.60	Facility		$1,447.60	$1,447.60	$1,447.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.00 / $1,447.60 / $2,596.00	Professional		$1,416.00	$1,447.60	$2,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.36 / $1,157.50 / $2,676.50	Professional		$1,157.36	$1,157.50	$2,676.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $269.52 / $2,700.00	Facility		$223.70	$269.52	$2,700.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $270.00 / $2,700.00	Professional		$175.50	$270.00	$2,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $2,714.04	Facility		$1,208.78	$1,208.78	$2,714.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $3,123.75	Professional		$1,027.46	$1,208.78	$3,123.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,953.99	Facility		$1,208.78	$1,208.78	$1,953.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $1,208.78 / $1,208.78	Professional		$173.61	$1,208.78	$1,208.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $320.00 / $2,200.00	Professional		$150.00	$320.00	$2,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.15 / $1,134.22 / $1,639.61	Professional		$756.15	$1,134.22	$1,639.61