Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.47 / $1,702.47 / $1,702.47	Facility		$1,702.47	$1,702.47	$1,702.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.47 / $1,756.08 / $2,666.44	Professional		$1,702.47	$1,756.08	$2,666.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,171.16 / $2,171.19 / $4,327.25	Professional		$2,171.16	$2,171.19	$4,327.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.24 / $313.20 / $2,455.62	Facility		$207.24	$313.20	$2,455.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $281.88 / $2,455.62	Professional		$203.58	$281.88	$2,455.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.38 / $2,225.09 / $3,501.12	Facility		$1,918.38	$2,225.09	$3,501.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $3,768.75	Professional		$1,891.33	$2,225.09	$3,768.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,918.38 / $2,225.09 / $2,225.09	Facility		$1,918.38	$2,225.09	$2,225.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $2,225.09	Professional		$1,891.33	$2,225.09	$2,225.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.42 / $291.04 / $1,818.98	Professional		$136.42	$291.04	$1,818.98
United Facility/Professional Professional Modifier Low / Median / High Price $761.12 / $1,203.28 / $1,894.06	Professional		$761.12	$1,203.28	$1,894.06