Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.48 / $2,246.48 / $2,246.48	Facility		$2,246.48	$2,246.48	$2,246.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,112.84 / $2,246.48 / $2,945.94	Professional		$2,112.84	$2,246.48	$2,945.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.24 / $2,237.91 / $4,319.38	Professional		$1,929.24	$2,237.91	$4,319.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.69 / $418.25 / $3,847.50	Facility		$313.69	$418.25	$3,847.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $439.16 / $3,847.50	Professional		$271.86	$439.16	$3,847.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $2,569.13 / $4,080.53	Facility		$64.00	$2,569.13	$4,080.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,183.76 / $4,848.75	Professional		$2,183.76	$2,183.76	$4,848.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,569.13 / $2,569.13	Professional		$2,183.76	$2,569.13	$2,569.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,710.00 / $2,565.00 / $3,562.50	Professional		$1,710.00	$2,565.00	$3,562.50
United Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $206.80 / $335.37	Professional		$139.11	$206.80	$335.37