Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $4,786.30	Professional		$2,630.27	$3,630.78	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $9,120.11	Professional		$3,162.28	$4,365.16	$9,120.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $537.03 / $4,897.79	Facility		$263.03	$537.03	$4,897.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $5,888.44	Professional		$346.74	$478.63	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,548.13	Facility		$2,187.76	$2,187.76	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,073.80	Professional		$1,862.09	$1,862.09	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,073.80	Facility		$2,187.76	$2,187.76	$4,073.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,862.09 / $2,187.76	Professional		$457.09	$1,862.09	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $691.83 / $4,265.80	Professional		$251.19	$691.83	$4,265.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $8,317.64	Professional		$4,168.69	$4,897.79	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $3,162.28	Facility		$257.04	$575.44	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,801.89	Professional		$1,318.26	$2,344.23	$3,801.89