Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.78 / $1,013.78 / $3,182.00	Facility		$1,013.78	$1,013.78	$3,182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.20 / $1,013.78 / $1,529.55	Professional		$934.20	$1,013.78	$1,529.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,772.34 / $2,076.23 / $5,379.32	Facility		$1,772.34	$2,076.23	$5,379.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $1,104.92 / $2,491.46	Professional		$920.77	$1,104.92	$2,491.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,415.61 / $1,887.48 / $2,642.47	Facility		$1,415.61	$1,887.48	$2,642.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,321.24 / $1,887.48 / $4,041.47	Professional		$1,321.24	$1,887.48	$4,041.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,663.70	Facility		$1,179.41	$1,179.41	$2,663.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,506.70	Professional		$860.97	$860.97	$1,506.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.40 / $1,179.41	Professional		$860.97	$1,179.40	$1,179.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $800.70 / $1,100.96 / $1,443.36	Professional		$800.70	$1,100.96	$1,443.36
United Facility/Professional Professional Modifier Low / Median / High Price $627.76 / $933.24 / $1,418.77	Professional		$627.76	$933.24	$1,418.77