Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $5,623.41	Professional		$3,548.13	$4,168.69	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,128.31	Professional		$3,090.30	$4,570.88	$8,128.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $794.33	Facility		$354.81	$645.65	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $707.95	Professional		$467.74	$512.86	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $8,317.64	Professional		$4,365.16	$4,365.16	$8,317.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,365.16 / $5,128.61	Professional		$616.60	$4,365.16	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $912.01 / $6,606.93	Professional		$354.81	$912.01	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $12,302.69	Professional		$6,165.95	$7,244.36	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $3,467.37	Facility		$309.03	$537.03	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $4,786.30	Professional		$1,584.89	$2,570.40	$4,786.30