Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.80 / $1,229.80 / $1,229.80	Facility		$1,229.80	$1,229.80	$1,229.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.94 / $1,229.80 / $1,612.68	Professional		$1,202.94	$1,229.80	$1,612.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $983.24 / $2,273.62	Professional		$983.20	$983.24	$2,273.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.05 / $228.97 / $2,209.96	Facility		$190.05	$228.97	$2,209.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $228.97 / $2,209.96	Professional		$148.83	$228.97	$2,209.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $2,305.69	Facility		$975.26	$975.26	$2,305.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $975.26 / $2,655.00	Professional		$828.97	$975.26	$2,655.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $1,659.96	Facility		$975.26	$975.26	$1,659.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $975.26 / $975.26	Professional		$170.60	$975.26	$975.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $261.92 / $1,800.71	Professional		$122.77	$261.92	$1,800.71
United Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $905.40 / $1,392.92	Professional		$642.40	$905.40	$1,392.92