Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.42 / $1,735.18 / $3,238.66	Facility		$1,167.42	$1,735.18	$3,238.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.00 / $1,904.21 / $3,238.66	Professional		$1,645.00	$1,904.21	$3,238.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.76 / $1,152.79 / $1,923.85	Professional		$886.76	$1,152.79	$1,923.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.34 / $1,345.95 / $1,444.28	Facility		$924.34	$1,345.95	$1,444.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.83 / $1,121.89 / $1,767.11	Professional		$996.83	$1,121.89	$1,767.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,946.54 / $1,946.54 / $1,964.24	Professional		$1,946.54	$1,946.54	$1,964.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $843.74 / $1,099.61 / $1,451.49	Professional		$843.74	$1,099.61	$1,451.49
United Facility/Professional Professional Modifier Low / Median / High Price $982.65 / $1,314.46 / $2,052.41	Professional		$982.65	$1,314.46	$2,052.41