Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $2,784.38 / $3,362.92	Facility		$325.00	$2,784.38	$3,362.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,867.91	Professional		$2,784.38	$2,784.38	$2,867.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $3,202.03 / $5,406.15	Professional		$2,784.38	$3,202.03	$5,406.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,204.41	Facility		$2,784.38	$2,784.38	$4,204.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,758.91	Professional		$2,784.38	$2,784.38	$3,758.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,626.77 / $2,784.38	Facility		$2,626.77	$2,626.77	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $215.14 / $215.14	Facility		$215.14	$215.14	$215.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $662.50 / $3,619.69	Professional		$101.91	$662.50	$3,619.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,625.26	Professional		$2,784.38	$2,784.38	$3,625.26