Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.00 / $2,068.46 / $2,068.46	Facility		$584.00	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,130.53	Professional		$2,068.46	$2,068.46	$2,130.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,378.73 / $4,016.14	Professional		$2,068.46	$2,378.73	$4,016.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,123.39	Facility		$2,068.46	$2,068.46	$3,123.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,792.43	Professional		$2,068.46	$2,068.46	$2,792.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $2,068.46	Facility		$1,951.39	$1,951.39	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,927.08	Professional		$2,068.46	$2,068.46	$2,927.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $2,825.40 / $2,825.40	Facility		$2,825.40	$2,825.40	$2,825.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,324.00	Professional		$2,068.46	$2,068.46	$3,324.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $2,275.31 / $2,886.74	Professional		$193.66	$2,275.31	$2,886.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,660.05	Professional		$2,068.46	$2,068.46	$2,660.05