Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,770.40 / $2,770.40 / $6,091.00	Facility		$2,770.40	$2,770.40	$6,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.00 / $2,770.40 / $3,533.14	Professional		$2,248.00	$2,770.40	$3,533.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,327.67 / $6,241.15 / $16,170.24	Facility		$5,327.67	$6,241.15	$16,170.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,753.44 / $2,842.58 / $7,375.90	Professional		$2,753.44	$2,842.58	$7,375.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,687.95 / $5,673.77 / $7,659.59	Facility		$3,687.95	$5,673.77	$7,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,687.95 / $5,106.39 / $12,148.68	Professional		$3,687.95	$5,106.39	$12,148.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $6,018.46	Facility		$3,670.30	$3,670.30	$6,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $4,688.81	Professional		$2,679.32	$2,679.32	$4,688.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $3,670.30	Professional		$2,679.32	$3,670.30	$3,670.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,406.88 / $3,309.47 / $4,338.71	Professional		$2,406.88	$3,309.47	$4,338.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.05 / $2,830.58 / $3,601.51	Professional		$1,887.05	$2,830.58	$3,601.51