Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.27 / $2,071.27 / $6,194.00	Facility		$2,071.27	$2,071.27	$6,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.70 / $2,071.27 / $2,372.98	Professional		$1,812.70	$2,071.27	$2,372.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,621.09 / $4,241.96 / $10,990.54	Facility		$3,621.09	$4,241.96	$10,990.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.25 / $2,048.37 / $5,013.22	Professional		$1,881.25	$2,048.37	$5,013.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,892.25 / $3,856.33 / $5,206.05	Facility		$2,892.25	$3,856.33	$5,206.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,520.21 / $3,489.53 / $8,257.17	Professional		$2,520.21	$3,489.53	$8,257.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $4,543.67	Facility		$2,326.75	$2,326.75	$4,543.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,972.42	Professional		$1,698.53	$1,698.53	$2,972.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $2,326.75	Professional		$1,698.53	$2,326.75	$2,326.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.58 / $1,830.76 / $2,630.01	Professional		$1,282.58	$1,830.76	$2,630.01