Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,213.37 / $2,213.37 / $2,213.37	Facility		$2,213.37	$2,213.37	$2,213.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,154.71 / $2,213.37 / $3,399.94	Professional		$2,154.71	$2,213.37	$3,399.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,892.80 / $2,908.78 / $4,784.93	Professional		$2,892.80	$2,908.78	$4,784.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.28 / $412.09 / $5,044.18	Facility		$350.28	$412.09	$5,044.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $882.37 / $5,044.18	Professional		$267.86	$882.37	$5,044.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $4,581.95	Facility		$2,399.94	$2,399.94	$4,581.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.95 / $2,399.94 / $4,777.50	Professional		$2,039.95	$2,399.94	$4,777.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $2,910.96	Facility		$2,399.94	$2,399.94	$2,910.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,039.95 / $2,399.94 / $2,399.94	Professional		$2,039.95	$2,399.94	$2,399.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,241.85 / $3,362.78 / $4,670.53	Professional		$2,241.85	$3,362.78	$4,670.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.08 / $2,035.62 / $3,051.16	Professional		$1,357.08	$2,035.62	$3,051.16