Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.15 / $2,570.76 / $4,158.58	Facility		$1,080.15	$2,570.76	$4,158.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,080.15 / $1,949.13	Professional		$810.11	$1,080.15	$1,949.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.22 / $1,485.21 / $2,389.42	Facility		$1,192.22	$1,485.21	$2,389.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $540.08 / $1,458.20	Professional		$540.08	$540.08	$1,458.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,025.69 / $1,417.70 / $2,025.29	Facility		$1,025.69	$1,417.70	$2,025.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.66 / $1,755.25 / $3,240.46	Professional		$1,147.66	$1,755.25	$3,240.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $1,390.15 / $4,607.51	Facility		$877.62	$1,390.15	$4,607.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.67 / $877.62 / $2,616.12	Professional		$617.67	$877.62	$2,616.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $1,390.15 / $5,222.60	Facility		$877.62	$1,390.15	$5,222.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $617.67 / $789.86 / $2,938.20	Professional		$617.67	$789.86	$2,938.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,012.64 / $1,164.53 / $1,620.22	Professional		$1,012.64	$1,164.53	$1,620.22
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $1,768.75	Professional		$567.08	$810.11	$1,768.75