Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.36 / $2,178.36 / $2,178.36	Facility		$2,178.36	$2,178.36	$2,178.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,166.79 / $2,178.36 / $3,148.86	Professional		$2,166.79	$2,178.36	$3,148.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,700.08 / $5,099.34 / $8,158.94	Facility		$3,700.08	$5,099.34	$8,158.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,643.55 / $3,304.44 / $5,435.80	Professional		$2,643.55	$3,304.44	$5,435.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $2,600.66 / $4,079.47	Facility		$305.95	$2,600.66	$4,079.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $2,600.66 / $4,079.47	Professional		$280.31	$2,600.66	$4,079.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $4,752.78	Facility		$2,672.64	$2,672.64	$4,752.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $4,729.50	Professional		$2,271.73	$2,672.64	$4,729.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Professional		$2,672.64	$2,672.64	$2,672.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.48 / $346.05 / $3,322.17	Professional		$221.48	$346.05	$3,322.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.85 / $2,047.28 / $2,974.01	Professional		$1,364.85	$2,047.28	$2,974.01