Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,175.49 / $4,175.49 / $4,175.49	Facility		$4,175.49	$4,175.49	$4,175.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,065.36 / $4,175.49 / $5,465.20	Professional		$4,065.36	$4,175.49	$5,465.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,458.07 / $5,487.35 / $9,026.69	Professional		$5,458.07	$5,487.35	$9,026.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.79 / $777.40 / $8,232.35	Facility		$660.79	$777.40	$8,232.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.31 / $1,664.57 / $7,174.25	Professional		$505.31	$1,664.57	$7,174.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $8,643.84	Facility		$4,775.22	$4,775.22	$8,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,058.94 / $4,775.22 / $9,011.25	Professional		$4,058.94	$4,775.22	$9,011.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $4,775.22	Facility		$4,775.22	$4,775.22	$4,775.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,058.94 / $4,775.22 / $4,775.22	Professional		$4,058.94	$4,775.22	$4,775.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,920.65 / $4,380.98 / $6,084.70	Professional		$2,920.65	$4,380.98	$6,084.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,560.48 / $3,840.72 / $5,755.95	Professional		$2,560.48	$3,840.72	$5,755.95