Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.66 / $1,689.66 / $1,689.66	Facility		$1,689.66	$1,689.66	$1,689.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,646.10 / $1,689.66 / $2,212.90	Professional		$1,646.10	$1,689.66	$2,212.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,208.32 / $2,220.52 / $4,746.00	Professional		$2,208.32	$2,220.52	$4,746.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $430.15 / $1,869.08	Facility		$283.12	$430.15	$1,869.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $430.14 / $2,875.50	Professional		$267.39	$430.14	$2,875.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $3,497.79	Facility		$1,850.09	$1,850.09	$3,497.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.58 / $1,572.58 / $4,560.93	Professional		$1,572.58	$1,572.58	$4,560.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $1,850.09	Facility		$1,850.09	$1,850.09	$1,850.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,572.58 / $1,850.09 / $1,850.09	Professional		$1,572.58	$1,850.09	$1,850.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $1,917.00 / $2,662.50	Professional		$1,278.00	$1,917.00	$2,662.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.76 / $1,877.50 / $2,873.45	Professional		$1,036.76	$1,877.50	$2,873.45