Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,090.30	Professional		$1,659.59	$2,290.87	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $5,754.40	Professional		$2,570.40	$2,754.23	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $3,162.28	Facility		$165.96	$331.13	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $3,715.35	Professional		$213.80	$295.12	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,398.83	Facility		$2,238.72	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,981.07	Professional		$2,041.74	$2,041.74	$3,981.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,398.83	Facility		$2,238.72	$2,398.83	$2,398.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,041.74 / $2,398.83	Professional		$288.40	$2,041.74	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $426.58 / $2,884.03	Professional		$173.78	$426.58	$2,884.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,248.07	Professional		$2,630.27	$3,090.30	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $363.08 / $2,041.74	Facility		$162.18	$363.08	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,344.23	Professional		$831.76	$1,479.11	$2,344.23