Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.98 / $1,393.98 / $1,393.98	Facility		$1,393.98	$1,393.98	$1,393.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.56 / $1,393.98 / $1,828.02	Professional		$1,363.56	$1,393.98	$1,828.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.46 / $1,114.50 / $2,577.25	Professional		$1,114.46	$1,114.50	$2,577.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $259.52 / $2,505.09	Facility		$194.65	$259.52	$2,505.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.69 / $259.52 / $2,505.09	Professional		$168.69	$259.52	$2,505.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $2,613.40	Facility		$192.60	$1,436.52	$2,613.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $1,221.04 / $3,759.38	Professional		$1,221.04	$1,221.04	$3,759.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $1,436.52	Facility		$192.60	$1,436.52	$1,436.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $1,436.52 / $1,436.52	Professional		$157.88	$1,436.52	$1,436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $296.89 / $2,041.18	Professional		$139.16	$296.89	$2,041.18
United Facility/Professional Professional Modifier Low / Median / High Price $710.47 / $1,026.23 / $1,578.82	Professional		$710.47	$1,026.23	$1,578.82