Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $5,029.87 / $7,590.58	Facility		$2,429.89	$5,029.87	$7,590.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $3,124.10	Professional		$2,429.89	$2,440.69	$3,124.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,624.28 / $3,912.12 / $6,074.73	Facility		$2,624.28	$3,912.12	$6,074.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,745.77 / $4,096.79	Professional		$2,429.89	$2,745.77	$4,096.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,652.46	Facility		$2,429.89	$2,429.89	$3,652.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,280.35	Professional		$2,429.89	$2,429.89	$3,280.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,429.89 / $2,503.21	Facility		$2,292.35	$2,429.89	$2,503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,094.67	Professional		$2,429.89	$2,429.89	$3,094.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,413.36 / $2,503.21 / $3,740.71	Facility		$2,413.36	$2,503.21	$3,740.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,438.53	Professional		$2,429.89	$2,429.89	$3,438.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,440.69 / $2,806.80 / $3,519.73	Professional		$2,440.69	$2,806.80	$3,519.73
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,974.42	Professional		$2,429.89	$2,429.89	$2,974.42