Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,974.00	Facility		$1,760.00	$1,760.00	$1,974.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,870.00	Professional		$1,760.00	$1,760.00	$1,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.08 / $5.33	Professional		$2.37	$3.08	$5.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $78.72	Facility		$64.41	$64.41	$78.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,994.31	Professional		$1,870.00	$1,870.00	$1,994.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,200.00	Professional		$1,870.00	$1,870.00	$2,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,730.20	Professional		$2,200.00	$2,200.00	$2,730.20