Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,052.89 / $1,052.89	Facility		$394.00	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,084.47	Professional		$1,052.89	$1,052.89	$1,084.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,210.82 / $2,044.29	Professional		$1,052.89	$1,210.82	$2,044.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,589.86	Facility		$1,052.89	$1,052.89	$1,589.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,421.40	Professional		$1,052.89	$1,052.89	$1,421.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $993.29 / $1,052.89	Facility		$993.29	$993.29	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $848.30 / $848.30 / $848.30	Facility		$848.30	$848.30	$848.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.19 / $1,045.64 / $1,368.75	Professional		$330.19	$1,045.64	$1,368.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,370.86	Professional		$1,052.89	$1,052.89	$1,370.86