Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.59 / $2,213.64 / $3,963.96	Facility		$1,029.59	$2,213.64	$3,963.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,029.59 / $1,857.91	Professional		$1,029.59	$1,029.59	$1,857.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.42 / $1,415.70 / $2,277.60	Facility		$1,136.42	$1,415.70	$2,277.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $1,405.16	Professional		$514.79	$514.79	$1,405.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $968.47 / $1,351.35 / $1,930.50	Facility		$968.47	$1,351.35	$1,930.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,093.95 / $1,673.10 / $3,088.80	Professional		$1,093.95	$1,673.10	$3,088.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.55 / $1,325.10 / $4,391.89	Facility		$836.55	$1,325.10	$4,391.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.78 / $836.55 / $2,493.42	Professional		$588.78	$836.55	$2,493.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $836.55 / $1,325.10 / $4,976.99	Facility		$836.55	$1,325.10	$4,976.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $588.78 / $752.90 / $2,800.94	Professional		$588.78	$752.90	$2,800.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,110.03 / $1,544.40	Professional		$965.25	$1,110.03	$1,544.40
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $772.20 / $1,685.97	Professional		$540.54	$772.20	$1,685.97