Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.98 / $1,108.98 / $3,381.00	Facility		$1,108.98	$1,108.98	$3,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.54 / $1,108.98 / $1,270.52	Professional		$970.54	$1,108.98	$1,270.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.76 / $2,271.17 / $5,884.42	Facility		$1,938.76	$2,271.17	$5,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.23 / $1,123.35 / $2,684.12	Professional		$1,007.23	$1,123.35	$2,684.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.53 / $2,064.71 / $2,787.36	Facility		$1,548.53	$2,064.71	$2,787.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,349.30 / $1,868.27 / $4,420.96	Professional		$1,349.30	$1,868.27	$4,420.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,432.64	Facility		$1,335.63	$1,335.63	$2,432.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,379.58	Professional		$975.01	$975.01	$1,379.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,335.63 / $1,335.63	Professional		$975.01	$1,335.63	$1,335.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $780.21 / $1,072.79 / $1,406.43	Professional		$780.21	$1,072.79	$1,406.43
United Facility/Professional Professional Modifier Low / Median / High Price $686.71 / $970.28 / $1,384.73	Professional		$686.71	$970.28	$1,384.73