Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,929.32 / $4,929.32 / $4,929.32	Facility		$4,929.32	$4,929.32	$4,929.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,821.72 / $4,929.32 / $6,464.12	Professional		$4,821.72	$4,929.32	$6,464.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,318.59 / $5,080.70 / $11,668.88	Professional		$4,318.59	$5,080.70	$11,668.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $917.75 / $6,194.82	Facility		$517.19	$917.75	$6,194.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.61 / $917.75 / $5,781.82	Professional		$439.61	$917.75	$5,781.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $6,161.32	Facility		$3,087.00	$3,087.00	$6,161.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $7,630.90	Professional		$2,623.95	$3,087.00	$7,630.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $4,435.68	Facility		$3,087.00	$3,087.00	$4,435.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $3,087.00	Professional		$2,623.95	$3,087.00	$3,087.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.32 / $612.96 / $4,214.07	Professional		$287.32	$612.96	$4,214.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,952.24 / $2,904.64 / $3,977.68	Professional		$1,952.24	$2,904.64	$3,977.68