Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $2,661.38 / $3,772.00	Facility		$1,028.55	$2,661.38	$3,772.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,049.11 / $1,316.54	Professional		$1,028.55	$1,049.11	$1,316.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.11 / $2,013.58 / $3,257.09	Facility		$1,157.11	$2,013.58	$3,257.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,271.97 / $1,873.88	Professional		$1,092.83	$1,271.97	$1,873.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.32 / $386.32 / $637.42	Facility		$386.32	$386.32	$637.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.32 / $386.32 / $386.32	Professional		$386.32	$386.32	$386.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,285.69	Professional		$1,092.83	$1,092.83	$1,285.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,285.69	Professional		$1,092.83	$1,092.83	$1,285.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,306.04 / $1,637.77	Professional		$1,135.69	$1,306.04	$1,637.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.36 / $1,071.41 / $1,285.69	Professional		$1,069.36	$1,071.41	$1,285.69