Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.64 / $1,218.64 / $1,218.64	Facility		$1,218.64	$1,218.64	$1,218.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.02 / $1,218.64 / $1,880.04	Professional		$1,192.02	$1,218.64	$1,880.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.39 / $1,601.25 / $2,884.73	Professional		$1,380.39	$1,601.25	$2,884.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.17 / $226.89 / $1,917.99	Facility		$170.17	$226.89	$1,917.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $240.24 / $1,917.99	Professional		$158.82	$240.24	$1,917.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $2,583.51	Facility		$1,639.62	$1,639.62	$2,583.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,639.62 / $2,962.50	Professional		$1,393.68	$1,639.62	$2,962.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,639.62 / $1,639.62	Professional		$1,393.68	$1,639.62	$1,639.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $852.43 / $1,278.65 / $1,775.91	Professional		$852.43	$1,278.65	$1,775.91
United Facility/Professional Professional Modifier Low / Median / High Price $748.93 / $1,028.71 / $1,623.99	Professional		$748.93	$1,028.71	$1,623.99