Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $2,752.20	Facility		$15.00	$15.00	$2,752.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $617.41 / $617.41	Professional		$15.00	$617.41	$617.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $560.00 / $826.50	Professional		$500.00	$560.00	$826.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $1,237.23 / $1,512.18	Facility		$1,237.23	$1,237.23	$1,512.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,103.96 / $2,611.32 / $5,324.59	Facility		$1,103.96	$2,611.32	$5,324.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00