Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,820.40 / $2,820.40 / $2,820.40	Facility		$2,820.40	$2,820.40	$2,820.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,748.12 / $2,820.40 / $3,694.30	Professional		$2,748.12	$2,820.40	$3,694.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,712.10 / $3,732.70 / $6,140.29	Professional		$3,712.10	$3,732.70	$6,140.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $528.17 / $4,470.05	Facility		$438.93	$528.17	$4,470.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.74 / $528.83 / $4,470.05	Professional		$343.74	$528.83	$4,470.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $5,838.74	Facility		$3,248.38	$3,248.38	$5,838.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,761.12 / $3,248.38 / $6,123.75	Professional		$2,761.12	$3,248.38	$6,123.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $3,248.38	Facility		$3,248.38	$3,248.38	$3,248.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,761.12 / $3,248.38 / $3,248.38	Professional		$2,761.12	$3,248.38	$3,248.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,986.69 / $2,980.03 / $4,138.93	Professional		$1,986.69	$2,980.03	$4,138.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.84 / $2,596.26 / $3,915.32	Professional		$1,730.84	$2,596.26	$3,915.32