Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.02 / $1,991.02 / $4,415.00	Facility		$1,991.02	$1,991.02	$4,415.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.57 / $1,991.02 / $2,786.69	Professional		$1,625.57	$1,991.02	$2,786.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,828.88 / $4,485.37 / $11,621.19	Facility		$3,828.88	$4,485.37	$11,621.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.05 / $2,042.90 / $5,300.89	Professional		$1,991.05	$2,042.90	$5,300.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,650.45 / $4,077.61 / $5,504.77	Facility		$2,650.45	$4,077.61	$5,504.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,650.45 / $3,669.85 / $8,730.98	Professional		$2,650.45	$3,669.85	$8,730.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,312.06	Facility		$2,637.76	$2,637.76	$4,312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $3,369.74	Professional		$1,925.56	$1,925.56	$3,369.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $2,637.76	Professional		$1,925.56	$2,637.76	$2,637.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,729.78 / $2,378.45 / $3,118.15	Professional		$1,729.78	$2,378.45	$3,118.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.18 / $2,034.28 / $2,604.69	Professional		$1,356.18	$2,034.28	$2,604.69