Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.15 / $1,179.15 / $3,749.00	Facility		$1,179.15	$1,179.15	$3,749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.21 / $1,179.15 / $1,351.97	Professional		$964.21	$1,179.15	$1,351.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,061.44 / $2,414.90 / $6,256.78	Facility		$2,061.44	$2,414.90	$6,256.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.99 / $1,193.93 / $2,853.96	Professional		$1,070.99	$1,193.93	$2,853.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,608.18 / $2,195.36 / $2,963.74	Facility		$1,608.18	$2,195.36	$2,963.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,426.98 / $1,975.82 / $4,700.70	Professional		$1,426.98	$1,975.82	$4,700.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,556.28	Facility		$1,304.10	$1,304.10	$2,556.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,666.00	Professional		$952.00	$952.00	$1,666.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $1,304.10	Professional		$952.00	$1,304.10	$1,304.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $931.31 / $1,280.55 / $1,678.80	Professional		$931.31	$1,280.55	$1,678.80
United Facility/Professional Professional Modifier Low / Median / High Price $730.16 / $1,042.24 / $1,516.55	Professional		$730.16	$1,042.24	$1,516.55