Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,677.35	Professional		$2,951.21	$3,630.78	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $7,244.36	Professional		$4,168.69	$4,365.16	$7,244.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $6,309.57	Facility		$295.12	$537.03	$6,309.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $6,309.57	Professional		$389.05	$537.03	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,168.69	Facility		$1,659.59	$1,659.59	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $5,888.44	Professional		$1,380.38	$1,380.38	$5,888.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,888.44	Facility		$1,659.59	$1,659.59	$5,888.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,380.38 / $1,659.59	Professional		$512.86	$1,380.38	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $5,495.41	Professional		$2,137.96	$3,630.78	$5,495.41
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $10,232.93	Professional		$5,128.61	$6,025.60	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,398.83 / $4,365.16	Facility		$288.40	$2,398.83	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,466.84	Professional		$1,949.84	$2,951.21	$4,466.84