Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,438.32 / $2,438.32 / $2,438.32	Facility		$2,438.32	$2,438.32	$2,438.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,285.82 / $2,438.32 / $3,422.00	Professional		$2,285.82	$2,438.32	$3,422.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.50 / $1,949.52 / $4,584.93	Professional		$1,949.50	$1,949.52	$4,584.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.08 / $453.97 / $3,837.46	Facility		$295.08	$453.97	$3,837.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $402.94 / $3,837.46	Professional		$287.81	$402.94	$3,837.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $4,290.42	Facility		$2,225.05	$2,225.05	$4,290.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $5,261.25	Professional		$1,891.29	$2,225.05	$5,261.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $2,225.05	Professional		$1,891.29	$2,225.05	$2,225.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.40 / $454.81 / $3,553.20	Professional		$227.40	$454.81	$3,553.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.61 / $1,509.92 / $2,599.36	Professional		$1,006.61	$1,509.92	$2,599.36