Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,436.38	Professional		$1,448.30	$1,448.30	$2,436.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $350.00 / $621.14	Professional		$262.50	$350.00	$621.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,080.51 / $5,829.30 / $7,215.03	Facility		$4,080.51	$5,829.30	$7,215.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,416.15 / $1,557.77 / $5,440.69	Professional		$1,416.15	$1,557.77	$5,440.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,030.13 / $4,749.80 / $5,757.34	Professional		$4,030.13	$4,749.80	$5,757.34