Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.00 / $3,491.60 / $5,075.00	Facility		$1,624.00	$3,491.60	$5,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,624.00 / $2,930.51	Professional		$1,320.80	$1,624.00	$2,930.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $2,634.94	Professional		$200.00	$240.00	$2,634.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,537.50 / $3,045.00	Facility		$2,030.00	$2,537.50	$3,045.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,639.00 / $2,740.50 / $4,872.00	Professional		$2,639.00	$2,740.50	$4,872.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,088.77 / $2,309.13 / $11,585.21	Facility		$2,088.77	$2,309.13	$11,585.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.74 / $1,092.22 / $4,418.29	Professional		$928.74	$1,092.22	$4,418.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,088.77 / $2,309.13 / $11,585.21	Facility		$2,088.77	$2,309.13	$11,585.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $928.74 / $1,092.22 / $4,418.29	Professional		$928.74	$1,092.22	$4,418.29
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $2,957.71	Professional		$852.60	$1,218.00	$2,957.71