Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.00 / $2,944.00 / $2,944.00	Facility		$878.00	$2,944.00	$2,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,128.00	Professional		$2,944.00	$2,944.00	$3,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $609.50 / $907.41	Professional		$530.00	$609.50	$907.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.50 / $715.50 / $1,216.34	Facility		$715.50	$715.50	$1,216.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $715.50 / $715.50	Professional		$530.00	$715.50	$715.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,212.09 / $1,212.09 / $1,212.09	Facility		$1,212.09	$1,212.09	$1,212.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $583.00 / $583.00 / $874.50	Professional		$583.00	$583.00	$874.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,166.39	Professional		$3,200.00	$3,200.00	$4,166.39