Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,084.37 / $3,084.37 / $6,314.00	Facility		$3,084.37	$3,084.37	$6,314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.21 / $3,084.37 / $4,506.47	Professional		$2,737.21	$3,084.37	$4,506.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,931.46 / $6,948.46 / $18,002.82	Facility		$5,931.46	$6,948.46	$18,002.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,164.74 / $3,512.86 / $8,211.81	Professional		$3,164.74	$3,512.86	$8,211.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,573.39 / $6,316.78 / $8,527.65	Facility		$4,573.39	$6,316.78	$8,527.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,105.91 / $5,685.10 / $13,525.49	Professional		$4,105.91	$5,685.10	$13,525.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $7,323.36	Facility		$4,052.23	$4,052.23	$7,323.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $5,176.72	Professional		$2,958.13	$2,958.13	$5,176.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $4,052.23	Professional		$2,958.13	$4,052.23	$4,052.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,239.64 / $4,454.50 / $5,839.85	Professional		$3,239.64	$4,454.50	$5,839.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.92 / $3,151.38 / $4,363.60	Professional		$2,100.92	$3,151.38	$4,363.60