Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.56 / $1,335.56 / $3,058.00	Facility		$1,335.56	$1,335.56	$3,058.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.24 / $1,335.56 / $1,948.25	Professional		$1,189.24	$1,335.56	$1,948.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,568.37 / $3,008.74 / $7,795.38	Facility		$2,568.37	$3,008.74	$7,795.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.36 / $1,481.65 / $3,555.78	Professional		$1,370.36	$1,481.65	$3,555.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.95 / $2,735.22 / $3,692.55	Facility		$1,818.95	$2,735.22	$3,692.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,777.89 / $2,461.69 / $5,856.65	Professional		$1,777.89	$2,461.69	$5,856.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $3,170.99	Facility		$1,769.38	$1,769.38	$3,170.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $2,260.38	Professional		$1,291.65	$1,291.65	$2,260.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $1,769.38	Professional		$1,291.65	$1,769.38	$1,769.38
United Facility/Professional Professional Modifier Low / Median / High Price $909.71 / $1,364.57 / $1,864.47	Professional		$909.71	$1,364.57	$1,864.47