Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,082.05 / $2,082.05 / $4,897.00	Facility		$2,082.05	$2,082.05	$4,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.59 / $2,082.05 / $2,227.23	Professional		$1,792.59	$2,082.05	$2,227.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,639.93 / $4,264.03 / $11,047.71	Facility		$3,639.93	$4,264.03	$11,047.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,891.00 / $2,108.08 / $5,039.30	Professional		$1,891.00	$2,108.08	$5,039.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,791.63 / $3,876.39 / $5,233.13	Facility		$2,791.63	$3,876.39	$5,233.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,519.65 / $3,488.75 / $8,300.12	Professional		$2,519.65	$3,488.75	$8,300.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,547.30	Facility		$2,507.59	$2,507.59	$4,547.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,590.10	Professional		$1,830.54	$1,830.54	$2,590.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $2,507.59	Facility		$2,507.59	$2,507.59	$2,507.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $2,507.59	Professional		$1,830.54	$2,507.59	$2,507.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.26 / $1,873.55 / $2,715.88	Professional		$1,289.26	$1,873.55	$2,715.88