Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.30 / $2,454.10 / $4,020.56	Facility		$1,044.30	$2,454.10	$4,020.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.65 / $1,044.30 / $3,132.90	Professional		$887.65	$1,044.30	$3,132.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,148.40 / $1,722.60	Professional		$976.14	$1,148.40	$1,722.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,109.56 / $1,696.98 / $30,545.66	Facility		$1,109.56	$1,696.98	$30,545.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,364.73 / $2,854.34 / $36,125.30	Professional		$1,364.73	$2,854.34	$36,125.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $1,344.01 / $7,449.74	Facility		$848.49	$1,344.01	$7,449.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.49 / $1,500.02 / $1,875.02	Professional		$848.49	$1,500.02	$1,875.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $1,344.01 / $7,449.74	Facility		$848.49	$1,344.01	$7,449.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $848.49 / $848.49 / $848.49	Professional		$848.49	$848.49	$848.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,566.44	Professional		$548.26	$783.22	$1,566.44