Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.33 / $1,513.33 / $1,513.33	Facility		$1,513.33	$1,513.33	$1,513.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.50 / $1,513.33 / $1,984.53	Professional		$1,423.50	$1,513.33	$1,984.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.70 / $1,694.04 / $4,116.51	Professional		$1,411.70	$1,694.04	$4,116.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.49 / $323.42 / $2,535.75	Facility		$239.49	$323.42	$2,535.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $323.42 / $2,733.96	Professional		$211.31	$323.42	$2,733.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $2,748.85	Facility		$213.28	$1,414.26	$2,748.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $1,414.26 / $3,266.25	Professional		$213.28	$1,414.26	$3,266.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $2,023.29	Facility		$213.28	$1,414.26	$2,023.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $1,414.26 / $1,414.26	Professional		$213.28	$1,414.26	$1,414.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,350.46 / $2,025.69 / $2,813.46	Professional		$1,350.46	$2,025.69	$2,813.46
United Facility/Professional Professional Modifier Low / Median / High Price $937.12 / $1,450.08 / $2,186.29	Professional		$937.12	$1,450.08	$2,186.29