Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.84 / $1,091.84 / $3,190.00	Facility		$1,091.84	$1,091.84	$3,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.38 / $1,091.84 / $1,360.85	Professional		$897.38	$1,091.84	$1,360.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,908.83 / $2,236.11 / $5,793.57	Facility		$1,908.83	$2,236.11	$5,793.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.68 / $1,069.65 / $2,642.67	Professional		$991.68	$1,069.65	$2,642.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,397.50 / $2,032.83 / $2,744.32	Facility		$1,397.50	$2,032.83	$2,744.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,321.34 / $1,829.55 / $4,352.70	Professional		$1,321.34	$1,829.55	$4,352.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,272.26	Facility		$1,108.41	$1,108.41	$2,272.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,415.99	Professional		$809.14	$809.14	$1,415.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $1,108.41	Professional		$809.14	$1,108.41	$1,108.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $862.35 / $1,185.73 / $1,554.49	Professional		$862.35	$1,185.73	$1,554.49
United Facility/Professional Professional Modifier Low / Median / High Price $655.79 / $945.17 / $1,333.74	Professional		$655.79	$945.17	$1,333.74