Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.80 / $1,222.80 / $2,917.00	Facility		$1,222.80	$1,222.80	$2,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.66 / $1,222.80 / $1,597.51	Professional		$1,023.66	$1,222.80	$1,597.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,351.53 / $2,754.72 / $7,137.23	Facility		$2,351.53	$2,754.72	$7,137.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.83 / $1,275.38 / $3,255.57	Professional		$1,253.83	$1,275.38	$3,255.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,627.79 / $2,504.29 / $3,380.79	Facility		$1,627.79	$2,504.29	$3,380.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,627.79 / $2,253.86 / $5,362.19	Professional		$1,627.79	$2,253.86	$5,362.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,764.58	Facility		$1,620.00	$1,620.00	$2,764.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $2,069.55	Professional		$1,182.59	$1,182.59	$2,069.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $1,620.00	Professional		$1,182.59	$1,620.00	$1,620.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,783.46	Facility		$2,365.94	$2,365.94	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $832.91 / $1,249.36 / $1,604.89	Professional		$832.91	$1,249.36	$1,604.89