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 / $6,275.52	Facility		$2,008.17	$4,719.20	$6,275.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,008.17 / $2,008.17 / $3,623.74	Professional		$2,008.17	$2,008.17	$3,623.74
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 $1,239.60 / $1,512.32 / $4,017.57	Professional		$1,239.60	$1,512.32	$4,017.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,137.76 / $3,765.32	Facility		$2,510.21	$3,137.76	$3,765.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,263.27 / $3,388.78 / $6,024.50	Professional		$3,263.27	$3,388.78	$6,024.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,582.89 / $2,855.37 / $14,325.80	Facility		$2,582.89	$2,855.37	$14,325.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.04 / $1,478.00 / $6,070.14	Professional		$1,269.04	$1,478.00	$6,070.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,582.89 / $2,855.37 / $14,325.80	Facility		$2,582.89	$2,855.37	$14,325.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,478.00 / $6,070.14	Professional		$1,226.23	$1,478.00	$6,070.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,976.79 / $2,259.19 / $3,106.38	Professional		$1,976.79	$2,259.19	$3,106.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,322.15	Professional		$1,054.29	$1,506.13	$3,322.15