Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.91 / $557.91 / $557.91	Facility		$557.91	$557.91	$557.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $557.91 / $961.84	Professional		$524.64	$557.91	$961.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.30 / $2,000.00 / $2,875.00	Professional		$773.30	$2,000.00	$2,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $103.87 / $1,403.84	Facility		$88.29	$103.87	$1,403.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $103.87 / $1,002.74	Professional		$67.52	$103.87	$1,002.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $2,355.54 / $2,355.54	Facility		$686.00	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $2,002.21 / $2,355.54	Professional		$863.80	$2,002.21	$2,355.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,355.54 / $2,355.54 / $2,355.54	Facility		$2,355.54	$2,355.54	$2,355.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,002.21 / $2,355.54 / $2,355.54	Professional		$2,002.21	$2,355.54	$2,355.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $118.84 / $817.04	Professional		$55.71	$118.84	$817.04
United Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $409.64 / $593.76	Professional		$291.45	$409.64	$593.76