Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,947.10 / $5,947.10 / $5,947.10	Facility		$5,947.10	$5,947.10	$5,947.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.24 / $5,947.10 / $7,798.79	Professional		$5,817.24	$5,947.10	$7,798.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,210.33 / $6,129.80 / $14,078.26	Professional		$5,210.33	$6,129.80	$14,078.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.97 / $1,107.24 / $7,473.87	Facility		$623.97	$1,107.24	$7,473.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $1,107.24 / $6,975.61	Professional		$530.37	$1,107.24	$6,975.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $7,433.65	Facility		$3,704.40	$3,704.40	$7,433.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $9,206.50	Professional		$3,148.74	$3,704.40	$9,206.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $5,351.58	Facility		$3,704.40	$3,704.40	$5,351.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $3,704.40	Professional		$3,148.74	$3,704.40	$3,704.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.65 / $739.52 / $5,084.17	Professional		$346.65	$739.52	$5,084.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,355.30 / $3,475.22 / $4,903.84	Professional		$2,355.30	$3,475.22	$4,903.84