Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.50 / $1,787.50 / $1,787.50	Facility		$1,787.50	$1,787.50	$1,787.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.50 / $2,662.47 / $3,733.03	Professional		$1,787.50	$2,662.47	$3,733.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,776.40 / $3,621.33 / $7,217.75	Professional		$2,776.40	$3,621.33	$7,217.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.83 / $341.10 / $3,686.41	Facility		$277.83	$341.10	$3,686.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $368.64 / $3,686.41	Professional		$234.33	$368.64	$3,686.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $375.11 / $2,290.69 / $3,236.31	Professional		$375.11	$2,290.69	$3,236.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.55 / $485.45 / $3,034.08	Professional		$227.55	$485.45	$3,034.08
United Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $474.97 / $2,383.14	Facility		$201.19	$474.97	$2,383.14
United Facility/Professional Professional Modifier Low / Median / High Price $948.43 / $1,776.83 / $3,158.80	Professional		$948.43	$1,776.83	$3,158.80