Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.76 / $1,729.76 / $5,597.00	Facility		$1,729.76	$1,729.76	$5,597.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.14 / $1,729.76 / $1,864.68	Professional		$1,417.14	$1,729.76	$1,864.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,024.05 / $3,542.55 / $9,178.43	Facility		$3,024.05	$3,542.55	$9,178.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,571.04 / $1,718.05 / $4,186.64	Professional		$1,571.04	$1,718.05	$4,186.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,268.38 / $3,220.50 / $4,347.68	Facility		$2,268.38	$3,220.50	$4,347.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,093.33 / $2,898.45 / $6,895.73	Professional		$2,093.33	$2,898.45	$6,895.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $3,719.81	Facility		$1,815.81	$1,815.81	$3,719.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $2,151.81	Professional		$1,325.54	$1,325.54	$2,151.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $1,815.81	Professional		$1,325.54	$1,815.81	$1,815.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,366.16 / $1,878.47 / $2,462.67	Professional		$1,366.16	$1,878.47	$2,462.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.10 / $1,528.68 / $2,218.50	Professional		$1,071.10	$1,528.68	$2,218.50