Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.24 / $1,324.24 / $8,745.00	Facility		$1,324.24	$1,324.24	$8,745.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.98 / $1,324.24 / $1,437.42	Professional		$1,022.98	$1,324.24	$1,437.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.09 / $2,712.03 / $7,026.62	Facility		$2,315.09	$2,712.03	$7,026.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.74 / $1,271.10 / $3,205.12	Professional		$1,202.74	$1,271.10	$3,205.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,095.66 / $2,095.66 / $2,095.66	Professional		$2,095.66	$2,095.66	$2,095.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,602.56 / $2,465.48 / $3,328.40	Facility		$1,602.56	$2,465.48	$3,328.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,602.56 / $2,218.92 / $5,279.09	Professional		$1,602.56	$2,218.92	$5,279.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,719.84	Facility		$1,327.28	$1,327.28	$2,719.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,695.60	Professional		$968.91	$968.91	$1,695.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $1,327.28	Professional		$968.91	$1,327.28	$1,327.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,332.92 / $1,832.76 / $2,402.75	Professional		$1,332.92	$1,832.76	$2,402.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,407.34 / $2,832.16	Facility		$2,407.34	$2,407.34	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $748.31 / $1,146.33 / $1,594.69	Professional		$748.31	$1,146.33	$1,594.69