Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.33 / $1,115.33 / $3,586.00	Facility		$1,115.33	$1,115.33	$3,586.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.37 / $1,115.33 / $1,581.93	Professional		$999.37	$1,115.33	$1,581.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.87 / $2,284.19 / $5,918.14	Facility		$1,949.87	$2,284.19	$5,918.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,129.29 / $2,699.50	Professional		$1,013.00	$1,129.29	$2,699.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,765.06 / $1,765.06 / $1,765.06	Professional		$1,765.06	$1,765.06	$1,765.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,556.33 / $2,076.54 / $2,803.33	Facility		$1,556.33	$2,076.54	$2,803.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,349.75 / $1,868.89 / $4,446.29	Professional		$1,349.75	$1,868.89	$4,446.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,477.81	Facility		$1,277.46	$1,277.46	$2,477.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,631.96	Professional		$932.55	$932.55	$1,631.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $1,277.46	Professional		$932.55	$1,277.46	$1,277.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $880.90 / $1,211.24 / $1,587.93	Professional		$880.90	$1,211.24	$1,587.93
United Facility/Professional Professional Modifier Low / Median / High Price $690.64 / $1,003.64 / $1,414.57	Professional		$690.64	$1,003.64	$1,414.57