Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.34 / $1,142.34 / $1,142.34	Facility		$1,142.34	$1,142.34	$1,142.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.38 / $1,142.34 / $1,498.06	Professional		$1,117.38	$1,142.34	$1,498.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.96 / $1,501.21 / $2,469.48	Professional		$1,492.96	$1,501.21	$2,469.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $212.67 / $1,797.80	Facility		$180.78	$212.67	$1,797.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $223.30 / $1,797.80	Professional		$148.87	$223.30	$1,797.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $2,075.01 / $2,364.80	Facility		$1,516.14	$2,075.01	$2,364.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $1,743.98 / $3,079.69	Professional		$185.31	$1,743.98	$3,079.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $1,516.14	Facility		$1,516.14	$1,516.14	$1,516.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $185.31 / $1,743.98	Professional		$169.88	$185.31	$1,743.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $799.02 / $1,198.53 / $1,664.62	Professional		$799.02	$1,198.53	$1,664.62
United Facility/Professional Professional Modifier Low / Median / High Price $705.20 / $1,057.80 / $1,612.49	Professional		$705.20	$1,057.80	$1,612.49