Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,717.01 / $2,717.01 / $4,712.00	Facility		$2,717.01	$2,717.01	$4,712.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,717.01 / $2,717.01 / $3,205.54	Professional		$2,717.01	$2,717.01	$3,205.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,331.34 / $3,906.08 / $6,278.29	Facility		$3,331.34	$3,906.08	$6,278.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,607.27 / $1,800.14 / $4,653.97	Professional		$1,607.27	$1,800.14	$4,653.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.68 / $3,569.28 / $4,759.05	Facility		$376.68	$3,569.28	$4,759.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.24 / $2,882.88 / $3,843.85	Professional		$304.24	$2,882.88	$3,843.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $414.78 / $1,700.00 / $1,965.07	Professional		$414.78	$1,700.00	$1,965.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $358.19 / $3,039.20	Professional		$217.09	$358.19	$3,039.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.56 / $2,477.09 / $4,676.89	Professional		$1,217.56	$2,477.09	$4,676.89