Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.18 / $1,073.18 / $3,568.00	Facility		$1,073.18	$1,073.18	$3,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.21 / $1,073.18 / $1,388.30	Professional		$973.21	$1,073.18	$1,388.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,876.18 / $2,197.87 / $5,694.47	Facility		$1,876.18	$2,197.87	$5,694.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.71 / $1,098.83 / $2,597.46	Professional		$974.71	$1,098.83	$2,597.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,498.55 / $1,998.06 / $2,697.38	Facility		$1,498.55	$1,998.06	$2,697.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,298.74 / $1,798.25 / $4,278.25	Professional		$1,298.74	$1,798.25	$4,278.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,441.08	Facility		$1,172.51	$1,172.51	$2,441.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,497.88	Professional		$855.93	$855.93	$1,497.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $1,172.51	Professional		$855.93	$1,172.51	$1,172.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $847.60 / $1,165.45 / $1,527.90	Professional		$847.60	$1,165.45	$1,527.90
United Facility/Professional Professional Modifier Low / Median / High Price $664.54 / $987.92 / $1,410.47	Professional		$664.54	$987.92	$1,410.47