Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,100.02 / $3,100.02 / $3,100.02	Facility		$3,100.02	$3,100.02	$3,100.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,027.18 / $3,100.02 / $4,966.43	Professional		$3,027.18	$3,100.02	$4,966.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,115.95 / $4,138.68 / $6,808.14	Professional		$4,115.95	$4,138.68	$6,808.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.66 / $580.54 / $4,956.35	Facility		$486.66	$580.54	$4,956.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.12 / $586.34 / $4,956.35	Professional		$381.12	$586.34	$4,956.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $6,417.35	Facility		$3,282.89	$3,282.89	$6,417.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $6,731.25	Professional		$2,790.46	$3,282.89	$6,731.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $3,282.89	Facility		$3,282.89	$3,282.89	$3,282.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $3,282.89	Professional		$2,790.46	$3,282.89	$3,282.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,202.82 / $3,304.24 / $4,589.22	Professional		$2,202.82	$3,304.24	$4,589.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.64 / $2,859.96 / $4,161.68	Professional		$1,906.64	$2,859.96	$4,161.68