Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $915.68	Facility		$500.00	$500.00	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $915.68	Professional		$500.00	$500.00	$915.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $976.72 / $1,441.54	Professional		$872.08	$976.72	$1,441.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,265.60 / $1,589.37 / $1,942.56	Facility		$1,265.60	$1,589.37	$1,942.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $347.14 / $347.14	Facility		$347.14	$347.14	$347.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $1,090.09 / $1,264.51	Professional		$872.08	$1,090.09	$1,264.51
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,135.45	Professional		$872.08	$872.08	$1,135.45