Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,804.14 / $3,971.20 / $9,765.23	Facility		$2,804.14	$3,971.20	$9,765.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,733.08 / $2,804.14 / $3,861.92	Professional		$2,733.08	$2,804.14	$3,861.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.21 / $3,096.92 / $7,844.77	Professional		$2,877.21	$3,096.92	$7,844.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,307.16 / $5,742.88 / $7,752.89	Facility		$4,307.16	$5,742.88	$7,752.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,753.12 / $5,196.63 / $12,296.65	Professional		$3,753.12	$5,196.63	$12,296.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $6,766.44	Facility		$4,536.46	$4,536.46	$6,766.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,536.46	Professional		$3,855.99	$3,855.99	$4,536.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,536.46 / $4,536.46	Professional		$3,855.99	$4,536.46	$4,536.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,910.04 / $2,865.06 / $3,945.02	Professional		$1,910.04	$2,865.06	$3,945.02