Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,423.30 / $2,423.30 / $2,423.30	Facility		$2,423.30	$2,423.30	$2,423.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,423.30 / $2,762.70 / $4,720.81	Professional		$2,423.30	$2,762.70	$4,720.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,029.40 / $3,786.80 / $7,547.62	Professional		$3,029.40	$3,786.80	$7,547.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.66 / $453.81 / $4,283.20	Facility		$376.66	$453.81	$4,283.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $453.81 / $4,283.20	Professional		$294.98	$453.81	$4,283.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,522.88 / $3,349.85 / $5,102.45	Facility		$2,522.88	$3,349.85	$5,102.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,349.85 / $3,697.80	Professional		$2,847.37	$3,349.85	$3,697.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,522.88 / $3,349.85 / $3,349.85	Facility		$2,522.88	$3,349.85	$3,349.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,349.85 / $3,349.85	Professional		$2,847.37	$3,349.85	$3,349.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $507.63 / $3,490.01	Professional		$237.95	$507.63	$3,490.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.88 / $1,980.60 / $3,299.20	Professional		$1,160.88	$1,980.60	$3,299.20