Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.10 / $1,282.10 / $3,379.00	Facility		$1,282.10	$1,282.10	$3,379.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.91 / $1,282.10 / $1,363.22	Professional		$969.91	$1,282.10	$1,363.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,241.44 / $2,625.76 / $6,803.09	Facility		$2,241.44	$2,625.76	$6,803.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.48 / $1,226.58 / $3,103.16	Professional		$1,164.48	$1,226.58	$3,103.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,711.86 / $2,387.05 / $3,222.52	Facility		$1,711.86	$2,387.05	$3,222.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,551.58 / $2,148.35 / $5,111.14	Professional		$1,551.58	$2,148.35	$5,111.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,684.46	Facility		$1,544.16	$1,544.16	$2,684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,972.66	Professional		$1,127.24	$1,127.24	$1,972.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $1,544.16	Professional		$1,127.24	$1,544.16	$1,544.16
United Facility/Professional Professional Modifier Low / Median / High Price $756.75 / $1,120.97 / $1,524.80	Professional		$756.75	$1,120.97	$1,524.80