Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,164.26 / $3,164.26 / $9,899.00	Facility		$3,164.26	$3,164.26	$9,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,164.26 / $3,408.48 / $5,357.52	Professional		$3,164.26	$3,408.48	$5,357.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,086.53 / $4,624.00 / $10,764.28	Professional		$4,086.53	$4,624.00	$10,764.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $610.62 / $6,658.63	Facility		$444.44	$610.62	$6,658.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $622.21 / $6,658.63	Professional		$432.81	$622.21	$6,658.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $3,681.54 / $7,706.70	Facility		$422.50	$3,681.54	$7,706.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.92 / $4,550.34 / $8,385.94	Professional		$479.92	$4,550.34	$8,385.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $3,681.54	Facility		$422.50	$422.50	$3,681.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $422.50 / $4,550.34	Professional		$422.50	$422.50	$4,550.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.92 / $813.82 / $5,425.55	Professional		$369.92	$813.82	$5,425.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,915.06 / $3,029.48 / $4,654.83	Professional		$1,915.06	$3,029.48	$4,654.83