Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.82 / $3,323.38 / $6,121.40	Facility		$1,102.82	$3,323.38	$6,121.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,958.85 / $2,396.75	Professional		$600.00	$1,958.85	$2,396.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,162.08 / $2,693.42 / $4,333.22	Facility		$2,162.08	$2,693.42	$4,333.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $979.42 / $2,644.44	Professional		$832.50	$979.42	$2,644.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,860.09 / $2,570.98 / $3,672.84	Facility		$1,860.09	$2,570.98	$3,672.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $3,183.13 / $5,876.54	Professional		$2,081.28	$3,183.13	$5,876.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $2,521.03 / $8,355.69	Facility		$1,591.56	$2,521.03	$8,355.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.27 / $1,591.56 / $4,743.47	Professional		$1,120.27	$1,591.56	$4,743.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $2,521.03 / $9,469.51	Facility		$1,591.56	$2,521.03	$9,469.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $939.41 / $1,317.59 / $4,743.47	Professional		$939.41	$1,317.59	$4,743.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $2,111.88 / $2,938.27	Professional		$1,836.42	$2,111.88	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,346.71 / $3,207.61	Professional		$252.88	$1,346.71	$3,207.61