Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.25 / $1,608.25 / $3,579.00	Facility		$1,608.25	$1,608.25	$3,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.78 / $1,608.25 / $2,136.37	Professional		$1,394.78	$1,608.25	$2,136.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,092.77 / $3,623.06 / $9,387.02	Facility		$3,092.77	$3,623.06	$9,387.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.15 / $1,696.36 / $4,281.79	Professional		$1,650.15	$1,696.36	$4,281.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,166.21 / $3,293.69 / $4,446.47	Facility		$2,166.21	$3,293.69	$4,446.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,140.90 / $2,964.32 / $7,052.45	Professional		$2,140.90	$2,964.32	$7,052.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,595.21	Facility		$1,743.07	$1,743.07	$3,595.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $2,738.64	Professional		$1,272.44	$1,272.44	$2,738.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,743.07 / $1,743.08	Professional		$1,272.44	$1,743.07	$1,743.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,780.67 / $2,448.42 / $3,209.88	Professional		$1,780.67	$2,448.42	$3,209.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.46 / $1,643.18 / $2,144.53	Professional		$1,095.46	$1,643.18	$2,144.53