Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.48 / $1,137.48 / $2,302.00	Facility		$1,137.48	$1,137.48	$2,302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.65 / $1,137.48 / $1,566.55	Professional		$1,108.65	$1,137.48	$1,566.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.10 / $1,250.20 / $3,075.00	Professional		$1,167.10	$1,250.20	$3,075.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $2,329.55 / $3,144.89	Facility		$1,747.16	$2,329.55	$3,144.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,522.38 / $2,107.92 / $4,988.03	Professional		$1,522.38	$2,107.92	$4,988.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,744.69	Facility		$1,800.00	$1,800.00	$2,744.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,936.98	Professional		$1,530.00	$1,530.00	$1,936.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $1,800.00	Professional		$1,530.00	$1,800.00	$1,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $1,162.19 / $1,600.25	Professional		$774.79	$1,162.19	$1,600.25