Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.88 / $4,029.97 / $6,602.29	Facility		$1,714.88	$4,029.97	$6,602.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $1,714.88 / $2,143.60	Professional		$1,286.16	$1,714.88	$2,143.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.80 / $2,357.96 / $3,793.53	Facility		$1,892.80	$2,357.96	$3,793.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $857.44 / $2,315.08	Professional		$800.00	$857.44	$2,315.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,628.42 / $2,250.78 / $3,215.40	Facility		$1,628.42	$2,250.78	$3,215.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,822.06 / $2,786.68 / $5,144.64	Professional		$1,822.06	$2,786.68	$5,144.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.34 / $2,207.05 / $7,315.04	Facility		$1,393.34	$2,207.05	$7,315.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.75 / $1,393.34 / $4,152.80	Professional		$980.75	$1,393.34	$4,152.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,393.34 / $2,207.05 / $8,290.04	Facility		$1,393.34	$2,207.05	$8,290.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $976.41 / $1,153.48 / $4,152.80	Professional		$976.41	$1,153.48	$4,152.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,607.70 / $1,848.85 / $2,572.32	Professional		$1,607.70	$1,848.85	$2,572.32
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,178.98 / $2,808.12	Professional		$252.88	$1,178.98	$2,808.12