Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.24 / $944.24 / $2,429.00	Facility		$944.24	$944.24	$2,429.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.31 / $944.24 / $1,498.09	Professional		$920.31	$944.24	$1,498.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.84 / $2,127.17 / $5,511.33	Facility		$1,815.84	$2,127.17	$5,511.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.84 / $1,161.45 / $2,549.71	Professional		$968.84	$1,161.45	$2,549.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,643.73 / $1,643.73 / $1,643.73	Professional		$1,643.73	$1,643.73	$1,643.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $1,933.80 / $2,610.63	Facility		$1,450.35	$1,933.80	$2,610.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.97 / $1,933.80 / $4,140.64	Professional		$1,256.97	$1,933.80	$4,140.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,486.92	Facility		$1,226.77	$1,226.77	$2,486.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,567.20	Professional		$895.54	$895.54	$1,567.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $1,226.77	Professional		$895.54	$1,226.77	$1,226.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $820.35 / $1,127.98 / $1,478.78	Professional		$820.35	$1,127.98	$1,478.78
United Facility/Professional Professional Modifier Low / Median / High Price $643.16 / $964.75 / $1,486.65	Professional		$643.16	$964.75	$1,486.65