Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.26 / $1,312.26 / $3,801.00	Facility		$1,312.26	$1,312.26	$3,801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.82 / $1,312.26 / $1,492.57	Professional		$1,112.82	$1,312.26	$1,492.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,294.15 / $2,687.50 / $6,963.06	Facility		$2,294.15	$2,687.50	$6,963.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.88 / $1,339.39 / $3,176.13	Professional		$1,191.88	$1,339.39	$3,176.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.01 / $2,443.17 / $3,298.29	Facility		$1,733.01	$2,443.17	$3,298.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,588.07 / $2,198.86 / $5,231.34	Professional		$1,588.07	$2,198.86	$5,231.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,970.97	Facility		$1,499.97	$1,499.97	$2,970.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,916.21	Professional		$1,094.98	$1,094.98	$1,916.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $1,499.97	Professional		$1,094.98	$1,499.97	$1,499.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,036.44 / $1,425.11 / $1,868.32	Professional		$1,036.44	$1,425.11	$1,868.32
United Facility/Professional Professional Modifier Low / Median / High Price $812.59 / $1,147.33 / $1,637.03	Professional		$812.59	$1,147.33	$1,637.03