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 / $3,439.00	Facility		$1,168.28	$1,168.28	$3,439.00
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 $1,061.00 / $1,183.49 / $2,827.66	Professional		$1,061.00	$1,183.49	$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 $1,214.17 / $1,214.17 / $2,562.79	Facility		$1,214.17	$1,214.17	$2,562.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.34 / $886.34 / $1,453.35	Professional		$886.34	$886.34	$1,453.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,214.17 / $1,214.17 / $1,214.17	Facility		$1,214.17	$1,214.17	$1,214.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $886.34 / $1,214.17 / $1,214.17	Professional		$886.34	$1,214.17	$1,214.17
United Facility/Professional Professional Modifier Low / Median / High Price $723.43 / $1,023.66 / $1,458.80	Professional		$723.43	$1,023.66	$1,458.80