Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,296.80 / $4,249.08 / $7,177.50	Facility		$2,296.80	$4,249.08	$7,177.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.75 / $2,296.80 / $4,144.58	Professional		$1,488.75	$2,296.80	$4,144.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,535.09 / $3,100.68 / $5,080.81	Facility		$2,535.09	$3,100.68	$5,080.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $1,286.20 / $3,726.55	Professional		$113.96	$1,286.20	$3,726.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $3,588.75 / $4,306.50	Facility		$2,871.00	$3,588.75	$4,306.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,732.30 / $3,875.85 / $6,890.40	Professional		$3,732.30	$3,875.85	$6,890.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,954.12 / $3,265.76 / $16,384.80	Facility		$2,954.12	$3,265.76	$16,384.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.45 / $1,544.79 / $6,248.19	Professional		$1,313.45	$1,544.79	$6,248.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,954.12 / $3,265.76 / $16,384.80	Facility		$2,954.12	$3,265.76	$16,384.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,313.45 / $1,544.79 / $6,248.19	Professional		$1,313.45	$1,544.79	$6,248.19
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,722.60 / $3,791.73	Professional		$893.25	$1,722.60	$3,791.73