Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.69 / $1,867.69 / $1,867.69	Facility		$1,867.69	$1,867.69	$1,867.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.69 / $2,159.46 / $3,514.14	Professional		$1,867.69	$2,159.46	$3,514.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,852.72 / $3,164.70 / $6,307.12	Professional		$2,852.72	$3,164.70	$6,307.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $349.76 / $3,130.04	Facility		$262.32	$349.76	$3,130.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $349.76 / $3,221.28	Professional		$237.07	$349.76	$3,221.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $4,264.28	Facility		$2,434.80	$2,671.66	$4,264.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $2,850.00	Professional		$2,270.91	$2,671.66	$2,850.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $2,671.66	Professional		$2,270.91	$2,671.66	$2,671.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $424.20 / $2,651.26	Professional		$198.84	$424.20	$2,651.26
United Facility/Professional Professional Modifier Low / Median / High Price $922.05 / $1,657.32 / $2,759.28	Professional		$922.05	$1,657.32	$2,759.28