Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,810.86 / $2,810.86 / $6,068.00	Facility		$2,810.86	$2,810.86	$6,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.92 / $2,810.86 / $3,292.72	Professional		$2,238.92	$2,810.86	$3,292.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,405.48 / $6,332.29 / $16,406.40	Facility		$5,405.48	$6,332.29	$16,406.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,742.31 / $2,884.11 / $7,483.61	Professional		$2,742.31	$2,884.11	$7,483.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,741.81 / $5,756.63 / $7,771.45	Facility		$3,741.81	$5,756.63	$7,771.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,741.81 / $5,180.97 / $12,326.10	Professional		$3,741.81	$5,180.97	$12,326.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $5,988.79	Facility		$2,853.06	$2,853.06	$5,988.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $3,644.78	Professional		$2,082.73	$2,082.73	$3,644.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $2,853.06	Professional		$2,082.73	$2,853.06	$2,853.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,442.05 / $3,357.82 / $4,402.11	Professional		$2,442.05	$3,357.82	$4,402.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.24 / $2,871.92 / $3,654.11	Professional		$1,898.24	$2,871.92	$3,654.11