Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,897.79	Professional		$3,162.28	$3,801.89	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,677.35 / $7,585.78	Professional		$4,466.84	$4,677.35	$7,585.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $6,760.83	Facility		$316.23	$575.44	$6,760.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $6,760.83	Professional		$416.87	$575.44	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,309.57	Facility		$3,467.37	$3,467.37	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $6,309.57	Professional		$2,951.21	$2,951.21	$6,309.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,309.57	Facility		$3,467.37	$3,467.37	$6,309.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $2,951.21 / $3,467.37	Professional		$549.54	$2,951.21	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $5,888.44	Professional		$2,398.83	$3,715.35	$5,888.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,456.54 / $10,964.78	Professional		$5,495.41	$6,456.54	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,511.89 / $4,570.88	Facility		$309.03	$2,511.89	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,677.35	Professional		$2,089.30	$3,090.30	$4,677.35