Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.20 / $1,941.20 / $4,062.00	Facility		$1,941.20	$1,941.20	$4,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.83 / $1,941.20 / $2,270.41	Professional		$1,505.83	$1,941.20	$2,270.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,733.07 / $4,373.14 / $11,330.40	Facility		$3,733.07	$4,373.14	$11,330.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.39 / $1,991.79 / $5,168.25	Professional		$1,844.39	$1,991.79	$5,168.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,610.27 / $3,975.58 / $5,367.03	Facility		$2,610.27	$3,975.58	$5,367.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,584.13 / $3,578.02 / $8,512.51	Professional		$2,584.13	$3,578.02	$8,512.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $4,083.26	Facility		$2,571.77	$2,571.77	$4,083.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $3,285.44	Professional		$1,877.39	$1,877.39	$3,285.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $2,571.77	Professional		$1,877.39	$2,571.77	$2,571.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,061.28 / $2,834.27 / $3,715.72	Professional		$2,061.28	$2,834.27	$3,715.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.70 / $1,983.38 / $2,523.56	Professional		$1,276.70	$1,983.38	$2,523.56