Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,127.10 / $5,127.10 / $5,127.10	Facility		$5,127.10	$5,127.10	$5,127.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,015.16 / $5,127.10 / $6,723.49	Professional		$5,015.16	$5,127.10	$6,723.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,684.77 / $5,284.40 / $12,136.70	Professional		$4,684.77	$5,284.40	$12,136.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $954.57 / $6,443.35	Facility		$537.91	$954.57	$6,443.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $954.57 / $6,013.79	Professional		$457.22	$954.57	$6,013.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $6,408.42	Facility		$3,969.00	$3,969.00	$6,408.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $3,373.65 / $11,066.25	Professional		$3,373.65	$3,373.65	$11,066.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $4,613.63	Facility		$3,969.00	$3,969.00	$4,613.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $3,969.00 / $3,969.00	Professional		$3,373.65	$3,969.00	$3,969.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.83 / $637.52 / $4,382.99	Professional		$298.83	$637.52	$4,382.99
United Facility/Professional Facility Modifier Low / Median / High Price $243.90 / $954.57 / $4,272.79	Facility		$243.90	$954.57	$4,272.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,079.19 / $3,048.75 / $4,227.52	Professional		$2,079.19	$3,048.75	$4,227.52