Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.42 / $1,251.42 / $5,494.28	Facility		$1,251.42	$1,251.42	$5,494.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.18 / $1,251.42 / $1,433.69	Professional		$1,095.18	$1,251.42	$1,433.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.79 / $2,562.90 / $6,640.24	Facility		$2,187.79	$2,562.90	$6,640.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.59 / $1,250.07 / $3,028.88	Professional		$1,136.59	$1,250.07	$3,028.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.43 / $2,329.91 / $3,145.38	Facility		$1,747.43	$2,329.91	$3,145.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,522.65 / $2,108.29 / $4,988.80	Professional		$1,522.65	$2,108.29	$4,988.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,745.17	Facility		$1,300.55	$1,300.55	$2,745.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,937.28	Professional		$949.40	$949.40	$1,937.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,300.55 / $1,300.55	Professional		$949.40	$1,300.55	$1,300.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,151.12 / $1,582.80 / $2,075.05	Professional		$1,151.12	$1,582.80	$2,075.05
United Facility/Professional Professional Modifier Low / Median / High Price $774.91 / $1,106.10 / $1,512.66	Professional		$774.91	$1,106.10	$1,512.66