Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,304.00	Facility		$2,304.00	$2,304.00	$2,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,448.00	Professional		$2,304.00	$2,304.00	$2,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.71 / $2,304.00 / $2,736.00	Professional		$973.71	$2,304.00	$2,736.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
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 $2,400.00 / $2,400.00 / $3,124.80	Professional		$2,400.00	$2,400.00	$3,124.80