Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.84 / $1,006.84 / $2,921.00	Facility		$1,006.84	$1,006.84	$2,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $1,006.84 / $1,084.66	Professional		$828.56	$1,006.84	$1,084.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.20 / $2,062.01 / $5,342.47	Facility		$1,760.20	$2,062.01	$5,342.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.47 / $1,016.89 / $2,436.91	Professional		$914.47	$1,016.89	$2,436.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,405.91 / $1,874.55 / $2,530.64	Facility		$1,405.91	$1,874.55	$2,530.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,266.75 / $1,753.96 / $4,013.79	Professional		$1,266.75	$1,753.96	$4,013.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $2,283.79	Facility		$1,212.63	$1,212.63	$2,283.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,549.13	Professional		$885.22	$885.22	$1,549.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $1,212.63	Professional		$885.22	$1,212.63	$1,212.63
United Facility/Professional Professional Modifier Low / Median / High Price $623.46 / $906.02 / $1,293.20	Professional		$623.46	$906.02	$1,293.20