Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,048.00	Facility		$1,590.54	$1,590.54	$2,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,638.26	Professional		$1,590.54	$1,590.54	$1,638.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,813.21 / $3,088.19	Professional		$1,590.54	$1,813.21	$3,088.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,550.00	Facility		$1,590.54	$1,590.54	$2,550.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,147.23	Professional		$1,590.54	$1,590.54	$2,147.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,500.51 / $1,590.54	Facility		$1,500.51	$1,500.51	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,250.76	Professional		$1,590.54	$1,590.54	$2,250.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $2,550.00	Facility		$2,550.00	$2,550.00	$2,550.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,727.03	Professional		$1,590.54	$1,590.54	$2,727.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,653.82 / $2,041.49 / $2,412.67	Professional		$1,653.82	$2,041.49	$2,412.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,032.71	Professional		$1,590.54	$1,590.54	$2,032.71