Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.93 / $1,403.93 / $1,403.93	Facility		$1,403.93	$1,403.93	$1,403.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.30 / $1,403.93 / $1,841.05	Professional		$1,320.30	$1,403.93	$1,841.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $1,177.38 / $2,324.39	Professional		$269.95	$1,177.38	$2,324.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.04 / $261.39 / $2,209.28	Facility		$196.04	$261.39	$2,209.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $559.69 / $2,209.28	Professional		$169.90	$559.69	$2,209.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $2,550.10	Facility		$1,450.41	$1,450.41	$2,550.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,232.84 / $3,787.50	Professional		$1,232.84	$1,232.84	$3,787.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,450.41 / $1,450.41	Professional		$1,232.84	$1,450.41	$1,450.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $981.90 / $1,472.85 / $2,045.62	Professional		$981.90	$1,472.85	$2,045.62
United Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $1,084.13 / $1,667.89	Professional		$733.34	$1,084.13	$1,667.89