Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.28 / $1,168.28 / $3,548.00	Facility		$1,168.28	$1,168.28	$3,548.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.43 / $1,168.28 / $1,338.46	Professional		$1,022.43	$1,168.28	$1,338.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,042.45 / $2,392.64 / $6,199.12	Facility		$2,042.45	$2,392.64	$6,199.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.08 / $1,181.67 / $2,827.66	Professional		$1,061.08	$1,181.67	$2,827.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,631.35 / $2,175.13 / $2,936.43	Facility		$1,631.35	$2,175.13	$2,936.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,421.50 / $1,968.23 / $4,657.39	Professional		$1,421.50	$1,968.23	$4,657.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,562.79	Facility		$1,540.39	$1,540.39	$2,562.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,540.39	Professional		$1,124.48	$1,124.48	$1,540.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $1,540.39	Professional		$1,124.48	$1,540.39	$1,540.39
United Facility/Professional Professional Modifier Low / Median / High Price $723.43 / $1,039.84 / $1,460.58	Professional		$723.43	$1,039.84	$1,460.58