Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,885.57 / $1,885.57 / $1,885.57	Facility		$1,885.57	$1,885.57	$1,885.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.57 / $2,277.06 / $4,174.60	Professional		$1,885.57	$2,277.06	$4,174.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,767.17 / $3,597.80 / $7,170.62	Professional		$2,767.17	$3,597.80	$7,170.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $365.09 / $3,662.30	Facility		$293.08	$365.09	$3,662.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $370.78 / $3,662.30	Professional		$247.18	$370.78	$3,662.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $4,847.72	Facility		$2,446.40	$2,446.40	$4,847.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.44 / $2,446.40 / $3,210.83	Professional		$2,079.44	$2,446.40	$3,210.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $2,792.28	Facility		$2,446.40	$2,446.40	$2,792.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,079.44 / $2,446.40 / $2,446.40	Professional		$2,079.44	$2,446.40	$2,446.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $482.27 / $3,014.24	Professional		$226.06	$482.27	$3,014.24
United Facility/Professional Professional Modifier Low / Median / High Price $975.73 / $1,823.52 / $3,198.00	Professional		$975.73	$1,823.52	$3,198.00