Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $5,857.00	Facility		$1,427.45	$1,427.45	$5,857.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,470.27	Professional		$1,427.45	$1,427.45	$1,470.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,655.84 / $2,941.26	Professional		$1,427.45	$1,655.84	$2,941.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,145.67	Facility		$1,427.45	$1,427.45	$2,145.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,927.06	Professional		$1,427.45	$1,427.45	$1,927.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,346.65 / $1,427.45	Facility		$1,346.65	$1,346.65	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,740.00	Professional		$1,427.45	$1,427.45	$1,740.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $1,427.45	Facility		$1,346.65	$1,427.45	$1,427.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,019.98	Professional		$1,427.45	$1,427.45	$2,019.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,713.41 / $2,043.37	Professional		$1,427.45	$1,713.41	$2,043.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,692.25 / $1,692.25 / $1,692.25	Facility		$1,692.25	$1,692.25	$1,692.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,792.88	Professional		$1,427.45	$1,427.45	$1,792.88