Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.90 / $1,065.90 / $3,798.00	Facility		$1,065.90	$1,065.90	$3,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.90 / $1,162.71 / $1,966.86	Professional		$1,065.90	$1,162.71	$1,966.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.29 / $1,823.90 / $3,635.12	Professional		$1,550.29	$1,823.90	$3,635.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $208.29 / $2,626.34	Facility		$156.22	$208.29	$2,626.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $236.37 / $2,363.71	Professional		$149.72	$236.37	$2,363.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,717.06 / $3,039.80	Facility		$1,452.11	$1,717.06	$3,039.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.11 / $1,503.13 / $2,925.00	Professional		$1,452.11	$1,503.13	$2,925.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,452.11 / $1,452.11	Facility		$1,452.11	$1,452.11	$1,452.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $1,452.11 / $1,503.13	Professional		$107.59	$1,452.11	$1,503.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $320.99 / $2,139.98	Professional		$145.90	$320.99	$2,139.98
United Facility/Professional Professional Modifier Low / Median / High Price $739.12 / $1,128.58 / $1,814.55	Professional		$739.12	$1,128.58	$1,814.55