Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,997.89 / $2,997.89 / $13,812.00	Facility		$2,997.89	$2,997.89	$13,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,997.89 / $3,267.84 / $5,071.71	Professional		$2,997.89	$3,267.84	$5,071.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,793.62 / $4,292.64 / $8,555.37	Professional		$3,793.62	$4,292.64	$8,555.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.07 / $587.82 / $6,181.38	Facility		$421.07	$587.82	$6,181.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.79 / $589.49 / $6,181.38	Professional		$401.79	$589.49	$6,181.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $3,417.67 / $7,154.40	Facility		$200.00	$3,417.67	$7,154.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $8,118.75	Professional		$462.00	$3,344.98	$8,118.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $3,417.67	Facility		$200.00	$200.00	$3,417.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $462.00 / $3,344.98	Professional		$200.00	$462.00	$3,344.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $343.41 / $755.50 / $5,036.68	Professional		$343.41	$755.50	$5,036.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.26 / $2,810.29 / $4,270.49	Professional		$1,756.26	$2,810.29	$4,270.49