Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,979.56 / $2,979.56	Facility		$2,211.00	$2,979.56	$2,979.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,068.94	Professional		$2,979.56	$2,979.56	$3,068.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $3,456.28 / $5,899.52	Professional		$2,979.56	$3,456.28	$5,899.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $4,499.14	Facility		$2,979.56	$2,979.56	$4,499.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $4,022.41	Professional		$2,979.56	$2,979.56	$4,022.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,810.90 / $2,979.55	Facility		$2,810.90	$2,810.90	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,863.13 / $2,863.13 / $2,863.13	Facility		$2,863.13	$2,863.13	$2,863.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $3,963.95	Professional		$2,979.55	$2,979.55	$3,963.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $3,191.82	Professional		$35.00	$50.00	$3,191.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,879.39	Professional		$2,979.56	$2,979.56	$3,879.39