Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.19 / $1,416.19 / $4,459.00	Facility		$1,416.19	$1,416.19	$4,459.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.15 / $1,416.19 / $1,517.48	Professional		$1,133.15	$1,416.19	$1,517.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,475.85 / $2,900.36 / $7,514.57	Facility		$2,475.85	$2,900.36	$7,514.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.26 / $1,433.92 / $3,427.69	Professional		$1,286.26	$1,433.92	$3,427.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,977.52 / $2,636.69 / $3,559.53	Facility		$1,977.52	$2,636.69	$3,559.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,845.68 / $2,562.26 / $5,645.68	Professional		$1,845.68	$2,562.26	$5,645.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $3,336.28	Facility		$1,549.06	$1,549.06	$3,336.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,978.92	Professional		$1,130.81	$1,130.81	$1,978.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $1,549.06	Professional		$1,130.81	$1,549.06	$1,549.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,118.52 / $1,537.97 / $2,016.28	Professional		$1,118.52	$1,537.97	$2,016.28
United Facility/Professional Professional Modifier Low / Median / High Price $876.95 / $1,238.20 / $1,768.61	Professional		$876.95	$1,238.20	$1,768.61