Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.17 / $1,223.17 / $2,619.00	Facility		$1,223.17	$1,223.17	$2,619.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.31 / $1,223.17 / $1,492.13	Professional		$1,071.31	$1,223.17	$1,492.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,352.23 / $2,755.56 / $7,139.39	Facility		$2,352.23	$2,755.56	$7,139.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.10 / $1,282.47 / $3,256.56	Professional		$1,245.10	$1,282.47	$3,256.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,129.29 / $2,129.29 / $2,129.29	Professional		$2,129.29	$2,129.29	$2,129.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.59 / $2,505.05 / $3,381.82	Facility		$1,638.59	$2,505.05	$3,381.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,628.28 / $2,254.55 / $5,363.81	Professional		$1,628.28	$2,254.55	$5,363.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,671.96	Facility		$1,295.39	$1,295.39	$2,671.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,654.86	Professional		$945.63	$945.63	$1,654.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $1,295.39	Professional		$945.63	$1,295.39	$1,295.39
United Facility/Professional Professional Modifier Low / Median / High Price $833.16 / $1,249.74 / $1,593.75	Professional		$833.16	$1,249.74	$1,593.75