Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.95 / $1,987.95 / $6,119.00	Facility		$1,987.95	$1,987.95	$6,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.79 / $1,987.95 / $2,410.53	Professional		$1,554.79	$1,987.95	$2,410.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,475.44 / $4,071.33 / $10,548.45	Facility		$3,475.44	$4,071.33	$10,548.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,805.58 / $1,966.25 / $4,811.57	Professional		$1,805.58	$1,966.25	$4,811.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,744.13 / $3,701.21 / $4,996.63	Facility		$2,744.13	$3,701.21	$4,996.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,555.27 / $3,538.07 / $7,925.03	Professional		$2,555.27	$3,538.07	$7,925.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $4,606.85	Facility		$2,017.28	$2,017.28	$4,606.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,577.08	Professional		$1,472.61	$1,472.61	$2,577.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $2,017.28	Professional		$1,472.61	$2,017.28	$2,017.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.08 / $1,738.10 / $2,426.69	Professional		$1,213.08	$1,738.10	$2,426.69