Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.71 / $1,662.71 / $1,662.71	Facility		$1,662.71	$1,662.71	$1,662.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.42 / $1,662.71 / $2,326.51	Professional		$1,626.42	$1,662.71	$2,326.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.40 / $1,329.44 / $3,074.12	Professional		$1,329.40	$1,329.44	$3,074.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.94 / $309.57 / $2,988.05	Facility		$256.94	$309.57	$2,988.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.22 / $309.57 / $2,988.05	Professional		$201.22	$309.57	$2,988.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.76 / $1,406.76 / $3,117.54	Facility		$1,406.76	$1,406.76	$3,117.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,406.76 / $3,588.75	Professional		$1,195.75	$1,406.76	$3,588.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,406.76 / $1,406.76 / $1,406.76	Facility		$1,406.76	$1,406.76	$1,406.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $1,406.76 / $1,406.76	Professional		$218.80	$1,406.76	$1,406.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $354.14 / $2,434.70	Professional		$166.00	$354.14	$2,434.70
United Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $1,302.91 / $1,883.37	Professional		$868.60	$1,302.91	$1,883.37