Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.81 / $2,651.81 / $9,663.00	Facility		$2,651.81	$2,651.81	$9,663.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,320.75 / $2,651.81 / $3,038.07	Professional		$2,320.75	$2,651.81	$3,038.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,636.02 / $5,430.91 / $14,070.99	Facility		$4,636.02	$5,430.91	$14,070.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.53 / $2,678.28 / $6,418.34	Professional		$2,408.53	$2,678.28	$6,418.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,702.89 / $4,937.18 / $6,665.21	Facility		$3,702.89	$4,937.18	$6,665.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,226.57 / $4,467.56 / $10,571.51	Professional		$3,226.57	$4,467.56	$10,571.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $5,817.14	Facility		$2,756.64	$2,756.64	$5,817.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $4,105.18	Professional		$2,012.35	$2,012.35	$4,105.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,756.64 / $2,756.64	Professional		$2,012.35	$2,756.64	$2,756.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,642.07 / $2,343.88 / $3,316.11	Professional		$1,642.07	$2,343.88	$3,316.11