Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.80 / $1,229.80 / $1,229.80	Facility		$1,229.80	$1,229.80	$1,229.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.94 / $1,229.80 / $1,612.68	Professional		$1,202.94	$1,229.80	$1,612.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $983.24 / $2,273.62	Professional		$983.20	$983.24	$2,273.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.05 / $228.97 / $2,531.25	Facility		$190.05	$228.97	$2,531.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $253.13 / $2,531.25	Professional		$160.28	$253.13	$2,531.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $2,233.78	Facility		$173.31	$1,082.51	$2,233.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $920.13 / $2,655.00	Professional		$173.31	$920.13	$2,655.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,659.96	Facility		$173.31	$1,082.51	$1,659.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $1,082.51 / $1,082.51	Professional		$144.55	$1,082.51	$1,082.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $300.00 / $2,062.50	Professional		$140.62	$300.00	$2,062.50
United Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $905.40 / $1,392.92	Professional		$642.40	$905.40	$1,392.92