Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.26 / $1,047.26 / $3,568.00	Facility		$1,047.26	$1,047.26	$3,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.26 / $1,123.08 / $1,820.00	Professional		$1,047.26	$1,123.08	$1,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,435.55 / $1,624.30 / $3,781.40	Professional		$1,435.55	$1,624.30	$3,781.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.09 / $204.40 / $2,264.54	Facility		$147.09	$204.40	$2,264.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $205.93 / $2,250.48	Professional		$146.88	$205.93	$2,250.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,682.47 / $2,707.20	Facility		$1,293.24	$1,682.47	$2,707.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $1,491.30 / $2,887.50	Professional		$1,491.30	$1,491.30	$2,887.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,293.24 / $1,293.24	Facility		$1,293.24	$1,293.24	$1,293.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,491.30 / $1,491.30	Professional		$160.65	$1,491.30	$1,491.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $276.77 / $1,845.18	Professional		$125.80	$276.77	$1,845.18
United Facility/Professional Facility Modifier Low / Median / High Price $123.56 / $913.71 / $1,570.80	Facility		$123.56	$913.71	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $657.93 / $1,005.08 / $1,616.05	Professional		$657.93	$1,005.08	$1,616.05