Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $5,364.07 / $7,209.00	Facility		$2,073.07	$5,364.07	$7,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $5,763.13	Professional		$2,073.07	$2,073.07	$5,763.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,332.21 / $3,847.78 / $6,435.16	Facility		$2,332.21	$3,847.78	$6,435.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.00 / $817.20 / $2,906.40	Professional		$681.00	$817.20	$2,906.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $513.03 / $513.03 / $872.15	Facility		$513.03	$513.03	$872.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $513.03 / $513.03	Professional		$513.03	$513.03	$513.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $3,316.33	Professional		$2,202.64	$2,202.64	$3,316.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $3,316.33	Professional		$2,202.64	$2,202.64	$3,316.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,575.89 / $2,251.28 / $2,386.35	Professional		$1,575.89	$2,251.28	$2,386.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,828.88	Professional		$2,159.44	$2,159.44	$2,828.88