Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.61 / $1,875.61 / $1,875.61	Facility		$1,875.61	$1,875.61	$1,875.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.90 / $1,875.61 / $2,459.61	Professional		$1,761.90	$1,875.61	$2,459.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.40 / $2,425.55 / $4,440.09	Professional		$2,124.40	$2,425.55	$4,440.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $349.20 / $4,556.25	Facility		$261.89	$349.20	$4,556.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $747.71 / $5,467.50	Professional		$244.44	$747.71	$5,467.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $3,300.57	Facility		$2,160.00	$2,160.00	$3,300.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $4,050.00	Professional		$1,836.00	$2,160.00	$4,050.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,160.00	Facility		$2,160.00	$2,160.00	$2,160.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $2,160.00 / $2,160.00	Professional		$226.12	$2,160.00	$2,160.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,700.00 / $4,050.00 / $5,625.00	Professional		$2,700.00	$4,050.00	$5,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.76 / $1,345.78 / $1,944.78	Professional		$979.76	$1,345.78	$1,944.78