Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $4,677.35	Facility		$1,862.09	$2,754.23	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,584.89 / $2,089.30	Professional		$354.81	$1,584.89	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,949.84 / $3,981.07	Professional		$239.88	$1,949.84	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $26,915.35 / $41,686.94	Facility		$1,819.70	$26,915.35	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $30,902.95 / $53,703.18	Professional		$2,398.83	$30,902.95	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,818.38	Facility		$1,258.93	$1,258.93	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,511.89	Professional		$1,548.82	$2,238.72	$2,511.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $7,943.28	Facility		$1,258.93	$1,995.26	$7,943.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,570.88	Professional		$1,659.59	$2,137.96	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,737.80 / $1,949.84	Facility		$707.95	$1,737.80	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,238.72	Professional		$812.83	$1,174.90	$2,238.72