Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.47 / $1,785.47 / $1,785.47	Facility		$1,785.47	$1,785.47	$1,785.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.47 / $2,026.86 / $3,711.23	Professional		$1,785.47	$2,026.86	$3,711.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,227.46 / $2,976.93 / $5,933.12	Professional		$2,227.46	$2,976.93	$5,933.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $334.37 / $3,133.49	Facility		$250.78	$334.37	$3,133.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $334.37 / $3,030.31	Professional		$221.60	$334.37	$3,030.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.19 / $2,592.00 / $3,307.70	Facility		$2,362.19	$2,592.00	$3,307.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $3,055.80	Professional		$2,203.19	$2,592.00	$3,055.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,362.19 / $2,592.00 / $2,592.00	Facility		$2,362.19	$2,592.00	$2,592.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $2,592.00	Professional		$2,203.19	$2,592.00	$2,592.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $399.05 / $2,494.08	Professional		$187.05	$399.05	$2,494.08
United Facility/Professional Professional Modifier Low / Median / High Price $876.11 / $1,543.92 / $2,526.08	Professional		$876.11	$1,543.92	$2,526.08