Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.30 / $1,701.30 / $3,984.00	Facility		$1,701.30	$1,701.30	$3,984.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.15 / $1,701.30 / $2,448.26	Professional		$1,428.15	$1,701.30	$2,448.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,271.72 / $3,832.69 / $9,930.14	Facility		$3,271.72	$3,832.69	$9,930.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.63 / $1,760.19 / $4,529.53	Professional		$1,745.63	$1,760.19	$4,529.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,264.77 / $3,484.26 / $4,703.75	Facility		$2,264.77	$3,484.26	$4,703.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,264.77 / $3,135.83 / $7,460.50	Professional		$2,264.77	$3,135.83	$7,460.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,817.17	Facility		$1,819.89	$1,819.89	$3,817.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $2,324.91	Professional		$1,328.52	$1,328.52	$2,324.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $1,819.89	Professional		$1,328.52	$1,819.89	$1,819.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,478.07 / $2,032.34 / $2,664.40	Professional		$1,478.07	$2,032.34	$2,664.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.83 / $1,738.26 / $2,239.04	Professional		$1,158.83	$1,738.26	$2,239.04