Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $3,174.69 / $29,312.25	Facility		$1,170.39	$3,174.69	$29,312.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $3,253.68	Professional		$1,170.39	$1,170.39	$3,253.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.25 / $2,061.19 / $3,474.61	Facility		$1,280.25	$2,061.19	$3,474.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.67 / $1,110.42 / $1,906.88	Professional		$1,041.67	$1,110.42	$1,906.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,504.68 / $1,504.68 / $2,557.96	Facility		$1,504.68	$1,504.68	$2,557.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,114.58 / $1,504.68	Professional		$1,114.58	$1,114.58	$1,504.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,246.99	Facility		$1,243.54	$1,243.54	$1,246.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,899.56	Professional		$1,243.54	$1,243.54	$1,899.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,246.99	Facility		$1,243.54	$1,243.54	$1,246.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,899.56	Professional		$1,243.54	$1,243.54	$1,899.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,318.64	Professional		$1,219.16	$1,219.16	$1,318.64