Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.69 / $2,142.69 / $5,189.00	Facility		$2,142.69	$2,142.69	$5,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.20 / $2,142.69 / $2,860.91	Professional		$1,958.20	$2,142.69	$2,860.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,120.57 / $4,827.08 / $12,506.51	Facility		$4,120.57	$4,827.08	$12,506.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.52 / $2,396.26 / $5,704.72	Professional		$2,198.52	$2,396.26	$5,704.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,291.19 / $4,388.25 / $5,924.14	Facility		$3,291.19	$4,388.25	$5,924.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,853.66 / $3,951.23 / $9,396.12	Professional		$2,853.66	$3,951.23	$9,396.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $5,144.82	Facility		$2,728.17	$2,728.17	$5,144.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $3,648.74	Professional		$1,991.56	$1,991.56	$3,648.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $2,728.17 / $2,728.17	Professional		$1,991.56	$2,728.17	$2,728.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,372.42 / $3,262.08 / $4,276.59	Professional		$2,372.42	$3,262.08	$4,276.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.50 / $2,189.23 / $3,048.16	Professional		$1,459.50	$2,189.23	$3,048.16