Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.80 / $5,359.52 / $7,790.00	Facility		$2,492.80	$5,359.52	$7,790.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $2,492.80 / $4,498.26	Professional		$320.58	$2,492.80	$4,498.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,751.43 / $3,365.28 / $5,514.39	Facility		$2,751.43	$3,365.28	$5,514.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,416.00 / $4,044.56	Professional		$1,246.40	$1,416.00	$4,044.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $3,895.00 / $4,674.00	Facility		$3,116.00	$3,895.00	$4,674.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,050.80 / $4,206.60 / $7,478.40	Professional		$4,050.80	$4,206.60	$7,478.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,206.21 / $3,544.45 / $17,783.00	Facility		$3,206.21	$3,544.45	$17,783.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.56 / $1,676.62 / $6,781.56	Professional		$1,425.56	$1,676.62	$6,781.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,206.21 / $3,544.45 / $17,783.00	Facility		$3,206.21	$3,544.45	$17,783.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,425.56 / $1,676.62 / $6,781.56	Professional		$1,425.56	$1,676.62	$6,781.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,869.60 / $4,115.30	Professional		$1,308.72	$1,869.60	$4,115.30