Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,161.94 / $2,161.94 / $4,604.00	Facility		$2,161.94	$2,161.94	$4,604.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,139.12 / $2,161.94 / $2,867.80	Professional		$2,139.12	$2,161.94	$2,867.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.70 / $1,728.50 / $3,997.00	Professional		$1,652.70	$1,728.50	$3,997.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $402.51 / $603.77	Facility		$288.12	$402.51	$603.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $362.26 / $966.02	Professional		$264.64	$362.26	$966.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,848.25 / $3,848.25 / $3,848.25	Facility		$3,848.25	$3,848.25	$3,848.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,837.98 / $2,837.98 / $5,170.31	Professional		$2,837.98	$2,837.98	$5,170.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $2,837.98 / $2,837.98	Professional		$287.76	$2,837.98	$2,837.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.61 / $1,567.82 / $2,209.15	Professional		$1,047.61	$1,567.82	$2,209.15