Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.77 / $1,199.77 / $3,897.00	Facility		$1,199.77	$1,199.77	$3,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,199.77 / $1,568.46	Professional		$1,043.16	$1,199.77	$1,568.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.48 / $2,457.13 / $6,366.19	Facility		$2,097.48	$2,457.13	$6,366.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.70 / $1,223.99 / $2,903.87	Professional		$1,089.70	$1,223.99	$2,903.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,898.69 / $1,898.69 / $1,898.69	Professional		$1,898.69	$1,898.69	$1,898.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,624.53 / $2,233.75 / $3,015.56	Facility		$1,624.53	$2,233.75	$3,015.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,451.94 / $2,010.38 / $4,782.91	Professional		$1,451.94	$2,010.38	$4,782.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,737.55	Facility		$1,306.07	$1,306.07	$2,737.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,668.50	Professional		$953.43	$953.43	$1,668.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $1,306.07	Professional		$953.43	$1,306.07	$1,306.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,207.64 / $1,660.50 / $2,176.92	Professional		$1,207.64	$1,660.50	$2,176.92
United Facility/Professional Professional Modifier Low / Median / High Price $742.93 / $1,064.71 / $1,571.14	Professional		$742.93	$1,064.71	$1,571.14