Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.11 / $6,661.19 / $9,973.82	Facility		$2,396.11	$6,661.19	$9,973.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,396.11 / $2,545.87	Professional		$2,396.11	$2,396.11	$2,545.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.71 / $645.33 / $5,840.52	Facility		$374.71	$645.33	$5,840.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $433.68 / $2,845.38	Professional		$346.95	$433.68	$2,845.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $195.08 / $321.88	Facility		$195.08	$195.08	$321.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $195.08 / $195.08	Professional		$195.08	$195.08	$195.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,995.14	Professional		$2,545.87	$2,545.87	$2,995.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $398.99 / $500.33	Professional		$346.95	$398.99	$500.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,995.14	Professional		$2,495.94	$2,495.94	$2,995.14