Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.16 / $1,615.16 / $3,568.00	Facility		$1,615.16	$1,615.16	$3,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $1,615.16 / $1,889.07	Professional		$1,350.68	$1,615.16	$1,889.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,106.06 / $3,638.62 / $9,427.34	Facility		$3,106.06	$3,638.62	$9,427.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.68 / $1,722.19 / $4,300.18	Professional		$1,613.68	$1,722.19	$4,300.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,161.44 / $3,307.84 / $4,465.58	Facility		$2,161.44	$3,307.84	$4,465.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,150.10 / $2,977.06 / $7,082.75	Professional		$2,150.10	$2,977.06	$7,082.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,555.49	Facility		$2,084.13	$2,084.13	$3,555.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,662.48	Professional		$1,521.41	$1,521.41	$2,662.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $2,084.13	Professional		$1,521.41	$2,084.13	$2,084.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,403.23 / $1,929.44 / $2,529.50	Professional		$1,403.23	$1,929.44	$2,529.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,242.02 / $2,067.96 / $2,646.27	Facility		$1,242.02	$2,067.96	$2,646.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.16 / $1,650.25 / $2,117.59	Professional		$1,100.16	$1,650.25	$2,117.59