Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,073.89 / $3,073.89 / $8,874.00	Facility		$3,073.89	$3,073.89	$8,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,668.42 / $3,073.89 / $3,721.01	Professional		$2,668.42	$3,073.89	$3,721.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,911.31 / $6,924.85 / $17,941.66	Facility		$5,911.31	$6,924.85	$17,941.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,153.97 / $3,205.32 / $8,183.91	Professional		$3,153.97	$3,205.32	$8,183.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,148.78 / $6,295.32 / $8,498.68	Facility		$4,148.78	$6,295.32	$8,498.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,091.96 / $5,665.79 / $13,479.54	Professional		$4,091.96	$5,665.79	$13,479.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $7,034.73	Facility		$4,072.36	$4,072.36	$7,034.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $5,202.43	Professional		$2,972.82	$2,972.82	$5,202.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $4,072.36	Professional		$2,972.82	$4,072.36	$4,072.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,670.56 / $3,672.03 / $4,814.03	Professional		$2,670.56	$3,672.03	$4,814.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,093.78 / $3,140.66 / $4,102.81	Professional		$2,093.78	$3,140.66	$4,102.81