Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.41 / $1,387.41 / $1,387.41	Facility		$1,387.41	$1,387.41	$1,387.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.12 / $1,387.41 / $2,040.00	Professional		$1,357.12	$1,387.41	$2,040.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,342.87 / $3,228.88 / $5,166.20	Facility		$2,342.87	$3,228.88	$5,166.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.20 / $1,236.28 / $3,234.42	Professional		$1,109.20	$1,236.28	$3,234.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Professional		$2,583.10	$2,583.10	$2,583.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.54 / $1,743.53 / $2,841.41	Facility		$219.54	$1,743.53	$2,841.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $1,679.02 / $3,189.38	Professional		$197.44	$1,679.02	$3,189.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $3,027.07	Facility		$1,460.50	$1,460.50	$3,027.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $2,994.75	Professional		$1,241.43	$1,460.50	$2,994.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Facility		$1,460.50	$1,460.50	$1,916.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Professional		$1,460.50	$1,460.50	$1,916.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $360.00 / $2,812.50	Professional		$180.00	$360.00	$2,812.50
United Facility/Professional Professional Modifier Low / Median / High Price $824.19 / $1,216.08 / $1,648.37	Professional		$824.19	$1,216.08	$1,648.37