Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.62 / $1,657.62 / $3,557.00	Facility		$1,657.62	$1,657.62	$3,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.35 / $1,657.62 / $2,114.83	Professional		$1,388.35	$1,657.62	$2,114.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,187.73 / $3,734.29 / $9,675.20	Facility		$3,187.73	$3,734.29	$9,675.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.50 / $1,806.78 / $4,413.25	Professional		$1,700.50	$1,806.78	$4,413.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,206.63 / $3,394.81 / $4,582.99	Facility		$2,206.63	$3,394.81	$4,582.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,206.63 / $3,055.33 / $7,268.97	Professional		$2,206.63	$3,055.33	$7,268.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,634.49	Facility		$1,769.18	$1,769.18	$3,634.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $2,260.13	Professional		$1,291.50	$1,291.50	$2,260.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $1,769.18	Professional		$1,291.50	$1,769.17	$1,769.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,760.12 / $2,420.16 / $3,172.83	Professional		$1,760.12	$2,420.16	$3,172.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.08 / $1,693.63 / $2,176.64	Professional		$1,129.08	$1,693.63	$2,176.64