Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.68 / $1,360.68 / $5,553.00	Facility		$1,360.68	$1,360.68	$5,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.86 / $1,360.68 / $1,534.23	Professional		$1,253.86	$1,360.68	$1,534.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.82 / $2,786.69 / $7,220.05	Facility		$2,378.82	$2,786.69	$7,220.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.84 / $1,425.04 / $3,293.35	Professional		$1,235.84	$1,425.04	$3,293.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.01 / $2,533.35 / $3,420.02	Facility		$1,900.01	$2,533.35	$3,420.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,646.68 / $2,280.02 / $5,424.41	Professional		$1,646.68	$2,280.02	$5,424.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $3,087.03	Facility		$1,638.80	$1,638.80	$3,087.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,106.44	Professional		$1,196.32	$1,196.32	$2,106.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,638.80 / $1,638.80	Professional		$1,196.32	$1,638.80	$1,638.80
United Facility/Professional Facility Modifier Low / Median / High Price $822.14 / $1,203.23 / $2,026.68	Facility		$822.14	$1,203.23	$2,026.68
United Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $1,224.43 / $1,829.22	Professional		$842.58	$1,224.43	$1,829.22