Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.18 / $1,409.18 / $1,409.18	Facility		$1,409.18	$1,409.18	$1,409.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.37 / $1,409.18 / $2,569.17	Professional		$1,401.37	$1,409.18	$2,569.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.58 / $3,298.76 / $5,278.02	Facility		$2,393.58	$3,298.76	$5,278.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,708.60 / $2,135.75 / $3,513.30	Professional		$1,708.60	$2,135.75	$3,513.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $1,715.36 / $2,639.01	Facility		$197.93	$1,715.36	$2,639.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $1,682.37 / $2,770.96	Professional		$181.17	$1,682.37	$2,770.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.08 / $2,217.64 / $3,074.57	Facility		$2,204.08	$2,217.64	$3,074.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $3,059.25	Professional		$1,884.99	$2,217.64	$3,059.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,217.64 / $2,217.64	Professional		$2,074.13	$2,217.64	$2,217.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.14 / $286.28 / $2,236.67	Professional		$143.14	$286.28	$2,236.67
United Facility/Professional Professional Modifier Low / Median / High Price $882.71 / $1,324.07 / $2,010.64	Professional		$882.71	$1,324.07	$2,010.64