Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,008.17 / $4,719.20 / $7,731.45	Facility		$2,008.17	$4,719.20	$7,731.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.15 / $2,008.17 / $2,058.37	Professional		$1,757.15	$2,008.17	$2,058.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,216.52 / $2,711.03 / $4,442.32	Facility		$2,216.52	$2,711.03	$4,442.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,740.00 / $3,425.70	Professional		$1,275.00	$1,740.00	$3,425.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $7,342.37 / $58,738.92	Facility		$2,510.21	$7,342.37	$58,738.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,623.98 / $6,024.50 / $59,039.48	Professional		$2,623.98	$6,024.50	$59,039.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,240.23 / $2,584.52 / $14,325.80	Facility		$2,240.23	$2,584.52	$14,325.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.30 / $3,653.75 / $14,129.95	Professional		$2,231.30	$3,653.75	$14,129.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,240.23 / $2,584.52 / $16,151.22	Facility		$2,240.23	$2,584.52	$16,151.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,231.30 / $2,231.30 / $2,231.30	Professional		$2,231.30	$2,231.30	$2,231.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,315.23	Professional		$1,054.29	$1,506.13	$3,315.23