Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.25 / $1,436.25 / $4,056.00	Facility		$1,436.25	$1,436.25	$4,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,436.25 / $2,420.06	Professional		$1,399.85	$1,436.25	$2,420.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,762.00 / $3,235.57 / $8,383.08	Facility		$2,762.00	$3,235.57	$8,383.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.67 / $1,766.63 / $3,882.68	Professional		$1,473.67	$1,766.63	$3,882.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,206.07 / $2,941.43 / $3,970.93	Facility		$2,206.07	$2,941.43	$3,970.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,965.24 / $2,941.43 / $6,298.19	Professional		$1,965.24	$2,941.43	$6,298.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $3,795.00	Facility		$1,902.78	$1,902.78	$3,795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $2,430.80	Professional		$1,389.03	$1,389.03	$2,430.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $1,902.78	Professional		$1,389.03	$1,902.78	$1,902.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,247.80 / $1,715.72 / $2,249.31	Professional		$1,247.80	$1,715.72	$2,249.31
United Facility/Professional Professional Modifier Low / Median / High Price $978.30 / $1,467.45 / $2,261.29	Professional		$978.30	$1,467.45	$2,261.29