Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,269.59 / $2,269.59 / $5,573.00	Facility		$2,269.59	$2,269.59	$5,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,212.07 / $2,269.59 / $3,203.70	Professional		$2,212.07	$2,269.59	$3,203.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,364.58 / $5,112.92 / $13,247.11	Facility		$4,364.58	$5,112.92	$13,247.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,328.71 / $2,547.31 / $6,042.54	Professional		$2,328.71	$2,547.31	$6,042.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,415.83 / $4,648.10 / $6,274.95	Facility		$3,415.83	$4,648.10	$6,274.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,021.27 / $4,183.30 / $9,952.53	Professional		$3,021.27	$4,183.30	$9,952.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $5,442.10	Facility		$3,006.81	$3,006.81	$5,442.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,841.20	Professional		$2,194.96	$2,194.96	$3,841.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $3,006.81	Professional		$2,194.96	$3,006.81	$3,006.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,971.79 / $2,711.21 / $3,554.40	Professional		$1,971.79	$2,711.21	$3,554.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.93 / $2,318.89 / $3,205.46	Professional		$1,545.93	$2,318.89	$3,205.46