Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,084.00	Facility		$1,393.12	$1,393.12	$2,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,434.91	Professional		$1,393.12	$1,393.12	$1,434.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,616.01 / $2,758.37	Professional		$1,393.12	$1,616.01	$2,758.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,103.61	Facility		$1,393.12	$1,393.12	$2,103.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,880.71	Professional		$1,393.12	$1,393.12	$1,880.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $1,393.12	Facility		$1,314.26	$1,314.26	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,971.40	Professional		$1,393.12	$1,393.12	$1,971.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $1,989.00 / $1,989.00	Facility		$1,989.00	$1,989.00	$1,989.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,340.00	Professional		$1,393.12	$1,393.12	$2,340.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $2,273.69	Professional		$40.00	$50.00	$2,273.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,813.84	Professional		$1,393.12	$1,393.12	$1,813.84