Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.90 / $1,604.90 / $1,604.90	Facility		$1,604.90	$1,604.90	$1,604.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.90 / $1,604.90 / $2,275.28	Professional		$1,569.90	$1,604.90	$2,275.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.05 / $1,283.09 / $2,967.12	Professional		$1,283.05	$1,283.09	$2,967.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.00 / $298.80 / $3,105.00	Facility		$248.00	$298.80	$3,105.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $310.50 / $3,105.00	Professional		$201.83	$310.50	$3,105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $3,008.74	Facility		$1,219.64	$1,219.64	$3,008.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $3,465.00	Professional		$1,036.69	$1,219.64	$3,465.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $2,166.21	Facility		$1,219.64	$1,219.64	$2,166.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $1,219.64	Professional		$1,036.69	$1,219.64	$1,219.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $368.00 / $2,530.00	Professional		$172.50	$368.00	$2,530.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.43 / $1,181.47 / $1,817.65	Professional		$838.43	$1,181.47	$1,817.65