Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.87 / $1,767.87 / $1,767.87	Facility		$1,767.87	$1,767.87	$1,767.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.87 / $2,039.52 / $3,324.65	Professional		$1,767.87	$2,039.52	$3,324.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,655.12 / $3,030.70 / $6,040.37	Professional		$2,655.12	$3,030.70	$6,040.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.30 / $331.07 / $3,079.52	Facility		$248.30	$331.07	$3,079.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.81 / $331.07 / $3,085.06	Professional		$222.81	$331.07	$3,085.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $4,083.65	Facility		$2,254.90	$2,254.90	$4,083.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $3,052.83	Professional		$1,916.67	$2,254.90	$3,052.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,387.82	Facility		$2,254.90	$2,254.90	$2,387.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $2,254.90	Professional		$1,916.67	$2,254.90	$2,254.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.43 / $406.25 / $2,539.14	Professional		$190.43	$406.25	$2,539.14
United Facility/Professional Professional Modifier Low / Median / High Price $876.72 / $1,567.92 / $2,633.68	Professional		$876.72	$1,567.92	$2,633.68