Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,488.23 / $2,488.23 / $5,810.00	Facility		$2,488.23	$2,488.23	$5,810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.31 / $2,488.23 / $3,176.06	Professional		$1,941.31	$2,488.23	$3,176.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.06 / $5,605.50 / $14,523.34	Facility		$4,785.06	$5,605.50	$14,523.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,350.56 / $2,820.67 / $6,624.68	Professional		$2,350.56	$2,820.67	$6,624.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,365.14 / $5,095.91 / $6,879.48	Facility		$3,365.14	$5,095.91	$6,879.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,312.34 / $4,586.32 / $10,911.36	Professional		$3,312.34	$4,586.32	$10,911.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $5,538.17	Facility		$3,001.57	$3,001.57	$5,538.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,834.51	Professional		$2,191.15	$2,191.15	$3,834.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $3,001.57	Professional		$2,191.15	$3,001.57	$3,001.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $2,542.29 / $3,291.83	Professional		$1,645.92	$2,542.29	$3,291.83