Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $6,309.57	Professional		$3,715.35	$4,897.79	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $10,000.00	Professional		$3,890.45	$4,786.30	$10,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $7,244.36	Facility		$389.05	$776.25	$7,244.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $8,709.64	Professional		$512.86	$707.95	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $5,623.41	Facility		$4,168.69	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,332.54	Professional		$4,786.30	$4,786.30	$9,332.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $5,623.41	Facility		$4,168.69	$5,623.41	$5,623.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $4,786.30 / $5,623.41	Professional		$549.54	$4,786.30	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $776.25 / $5,011.87	Professional		$302.00	$776.25	$5,011.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $10,232.93	Professional		$5,248.07	$6,165.95	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $630.96 / $4,168.69	Facility		$288.40	$630.96	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,073.80	Professional		$1,862.09	$2,818.38	$4,073.80