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 / $1,686.21	Facility		$1,195.98	$1,195.98	$1,686.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,506.00 / $2,663.43	Professional		$1,195.98	$1,506.00	$2,663.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,266.84 / $2,666.90 / $5,315.12	Professional		$2,266.84	$2,666.90	$5,315.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $246.38 / $6,270.49	Facility		$183.70	$246.38	$6,270.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $479.59 / $5,329.92	Professional		$167.99	$479.59	$5,329.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $4,444.80	Facility		$303.33	$303.33	$4,444.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $257.83 / $3,609.38	Professional		$257.83	$257.83	$3,609.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $2,359.19	Facility		$303.33	$303.33	$2,359.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $303.33 / $303.33	Professional		$257.83	$303.33	$303.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.36 / $766.39 / $5,109.29	Professional		$348.36	$766.39	$5,109.29
United Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $241.35 / $2,220.21	Professional		$99.26	$241.35	$2,220.21