Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.90 / $3,430.76 / $5,620.61	Facility		$1,459.90	$3,430.76	$5,620.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,459.90 / $2,737.32	Professional		$1,075.00	$1,459.90	$2,737.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,611.37 / $1,970.87 / $3,229.49	Facility		$1,611.37	$1,970.87	$3,229.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.17 / $1,103.72 / $2,627.81	Professional		$901.17	$1,103.72	$2,627.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1,149.67 / $1,149.67 / $1,149.67	Facility		$1,149.67	$1,149.67	$1,149.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $2,098.61 / $2,737.32	Facility		$1,824.88	$2,098.61	$2,737.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $2,372.34 / $3,990.17	Professional		$1,824.88	$2,372.34	$3,990.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.71 / $2,075.80 / $10,414.57	Facility		$1,877.71	$2,075.80	$10,414.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.59 / $1,599.11 / $3,535.31	Professional		$927.59	$1,599.11	$3,535.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,877.71 / $2,075.80 / $10,414.57	Facility		$1,877.71	$2,075.80	$10,414.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $927.59 / $1,228.78 / $4,320.43	Professional		$927.59	$1,228.78	$4,320.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,437.09 / $1,642.39 / $2,258.28	Professional		$1,437.09	$1,642.39	$2,258.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,094.93 / $2,658.85	Professional		$766.45	$1,094.93	$2,658.85