Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.58 / $1,037.58 / $3,003.00	Facility		$1,037.58	$1,037.58	$3,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.13 / $1,037.58 / $1,342.27	Professional		$956.13	$1,037.58	$1,342.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.96 / $2,124.98 / $5,505.63	Facility		$1,813.96	$2,124.98	$5,505.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.40 / $1,130.88 / $2,549.96	Professional		$942.40	$1,130.88	$2,549.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.85 / $1,931.80 / $2,621.40	Facility		$1,448.85	$1,931.80	$2,621.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.67 / $1,931.80 / $4,136.37	Professional		$1,255.67	$1,931.80	$4,136.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,454.07	Facility		$1,207.09	$1,207.09	$2,454.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,542.07	Professional		$881.18	$881.18	$1,542.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $1,207.09	Professional		$881.18	$1,207.09	$1,207.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $819.50 / $1,126.81 / $1,477.25	Professional		$819.50	$1,126.81	$1,477.25
United Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $963.76 / $1,400.02	Professional		$642.50	$963.76	$1,400.02