Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,983.33 / $4,983.33 / $4,983.33	Facility		$4,983.33	$4,983.33	$4,983.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,513.80 / $4,983.33 / $7,129.29	Professional		$4,513.80	$4,983.33	$7,129.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,607.39 / $5,642.40 / $11,246.00	Professional		$4,607.39	$5,642.40	$11,246.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $606.61 / $888.91 / $6,381.94	Facility		$606.61	$888.91	$6,381.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.47 / $800.02 / $6,381.94	Professional		$542.47	$800.02	$6,381.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,929.30 / $6,410.99 / $8,951.44	Facility		$4,929.30	$6,410.99	$8,951.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,449.34 / $6,410.99 / $10,770.00	Professional		$5,449.34	$6,410.99	$10,770.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,929.30 / $6,410.99 / $6,410.99	Facility		$4,929.30	$6,410.99	$6,410.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,449.34 / $6,410.99 / $6,410.99	Professional		$5,449.34	$6,410.99	$6,410.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $756.38 / $5,200.09	Professional		$354.55	$756.38	$5,200.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,148.64 / $3,340.28 / $5,371.60	Professional		$2,148.64	$3,340.28	$5,371.60