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 / $1,974.76	Facility		$1,195.98	$1,195.98	$1,974.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,768.80 / $3,263.15	Professional		$1,195.98	$1,768.80	$3,263.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,983.00 / $3,686.82 / $7,348.00	Professional		$2,983.00	$3,686.82	$7,348.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $246.38 / $7,183.38	Facility		$183.70	$246.38	$7,183.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $538.75 / $6,105.87	Professional		$167.99	$538.75	$6,105.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,261.53 / $3,685.49 / $4,105.41	Facility		$3,261.53	$3,685.49	$4,105.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.58 / $3,132.67 / $3,685.49	Professional		$2,147.58	$3,132.67	$3,685.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,261.53 / $3,685.49 / $4,105.41	Facility		$3,261.53	$3,685.49	$4,105.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,132.67 / $3,685.49 / $3,685.49	Professional		$3,132.67	$3,685.49	$3,685.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $399.07 / $877.96 / $5,853.12	Professional		$399.07	$877.96	$5,853.12
United Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $333.66 / $2,175.92	Professional		$116.28	$333.66	$2,175.92