Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,996.68 / $2,996.68 / $2,996.68	Facility		$2,996.68	$2,996.68	$2,996.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,996.68 / $3,330.78 / $5,433.51	Professional		$2,996.68	$3,330.78	$5,433.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,486.74 / $4,358.43 / $8,686.50	Professional		$3,486.74	$4,358.43	$8,686.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.66 / $561.19 / $4,929.47	Facility		$443.66	$561.19	$4,929.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.77 / $561.19 / $4,929.47	Professional		$364.77	$561.19	$4,929.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.34 / $4,124.25 / $5,872.68	Facility		$2,982.34	$4,124.25	$5,872.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,505.61 / $4,124.25 / $4,572.70	Professional		$3,505.61	$4,124.25	$4,572.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,982.34 / $4,124.25 / $4,124.25	Facility		$2,982.34	$4,124.25	$4,124.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,505.61 / $4,124.25 / $4,124.25	Professional		$3,505.61	$4,124.25	$4,124.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.86 / $584.24 / $4,016.60	Professional		$273.86	$584.24	$4,016.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.44 / $2,274.09 / $3,807.20	Professional		$1,399.44	$2,274.09	$3,807.20