Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,613.58 / $5,613.58 / $5,613.58	Facility		$5,613.58	$5,613.58	$5,613.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,491.02 / $5,613.58 / $7,361.45	Professional		$5,491.02	$5,613.58	$7,361.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,129.43 / $5,786.00 / $13,288.58	Professional		$5,129.43	$5,786.00	$13,288.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.27 / $1,045.15 / $7,054.77	Facility		$578.27	$1,045.15	$7,054.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $491.53 / $1,045.15 / $6,584.45	Professional		$491.53	$1,045.15	$6,584.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $7,016.64	Facility		$3,818.66	$3,818.66	$7,016.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,245.86 / $3,818.66 / $8,690.20	Professional		$3,245.86	$3,818.66	$8,690.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,245.86 / $3,818.66 / $3,818.66	Professional		$3,245.86	$3,818.66	$3,818.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $685.36 / $4,711.87	Professional		$321.26	$685.36	$4,711.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,276.54 / $3,307.84 / $4,636.50	Professional		$2,276.54	$3,307.84	$4,636.50