Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.98 / $1,195.98 / $5,985.00	Facility		$1,195.98	$1,195.98	$5,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,187.83 / $3,565.76	Professional		$1,195.98	$2,187.83	$3,565.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,376.66 / $4,220.82 / $8,422.60	Professional		$3,376.66	$4,220.82	$8,422.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $246.38 / $4,112.21	Facility		$183.70	$246.38	$4,112.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $349.54 / $3,495.38	Professional		$167.99	$349.54	$3,495.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,997.20 / $2,095.19 / $3,360.51	Facility		$1,997.20	$2,095.19	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $1,472.88 / $3,637.50	Professional		$1,472.88	$1,472.88	$3,637.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,360.51 / $3,360.51 / $3,360.51	Facility		$3,360.51	$3,360.51	$3,360.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $1,472.88 / $3,360.51	Professional		$125.36	$1,472.88	$3,360.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $502.60 / $3,350.68	Professional		$228.45	$502.60	$3,350.68
United Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $381.98 / $3,485.52	Professional		$125.19	$381.98	$3,485.52