Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,000.80 / $3,000.80 / $3,000.80	Facility		$3,000.80	$3,000.80	$3,000.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,660.16 / $3,000.80 / $4,872.89	Professional		$2,660.16	$3,000.80	$4,872.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,399.19 / $2,555.94 / $5,548.00	Professional		$2,399.19	$2,555.94	$5,548.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $525.16 / $4,722.62	Facility		$363.15	$525.16	$4,722.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.19 / $495.87 / $4,722.62	Professional		$354.19	$495.87	$4,722.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $5,625.11	Facility		$3,655.97	$3,655.97	$5,625.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,107.57 / $3,655.97 / $5,865.00	Professional		$3,107.57	$3,655.97	$5,865.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,107.57 / $3,655.97 / $3,655.97	Professional		$3,107.57	$3,655.97	$3,655.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $559.71 / $4,372.80	Professional		$279.85	$559.71	$4,372.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.45 / $1,878.68 / $3,096.93	Professional		$1,252.45	$1,878.68	$3,096.93