Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.71 / $1,158.71 / $3,020.00	Facility		$1,158.71	$1,158.71	$3,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.49 / $1,158.71 / $1,232.01	Professional		$974.49	$1,158.71	$1,232.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,025.70 / $2,373.03 / $6,148.31	Facility		$2,025.70	$2,373.03	$6,148.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.49 / $1,086.33 / $2,804.49	Professional		$1,044.49	$1,086.33	$2,804.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,517.58 / $2,157.30 / $2,912.36	Facility		$1,517.58	$2,157.30	$2,912.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,402.25 / $1,941.57 / $4,619.21	Professional		$1,402.25	$1,941.57	$4,619.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $2,302.61	Facility		$1,395.53	$1,395.53	$2,302.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,793.76	Professional		$1,018.74	$1,018.74	$1,793.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,395.53 / $1,395.53	Professional		$1,018.74	$1,395.53	$1,395.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $915.16 / $1,258.34 / $1,649.69	Professional		$915.16	$1,258.34	$1,649.69
United Facility/Professional Professional Modifier Low / Median / High Price $670.22 / $1,009.48 / $1,369.38	Professional		$670.22	$1,009.48	$1,369.38