Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.83 / $1,180.83 / $2,381.00	Facility		$1,180.83	$1,180.83	$2,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $1,180.83 / $1,381.10	Professional		$916.04	$1,180.83	$1,381.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,270.84 / $2,660.20 / $6,892.33	Facility		$2,270.84	$2,660.20	$6,892.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.99 / $1,211.60 / $3,143.86	Professional		$1,121.99	$1,211.60	$3,143.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,571.93 / $2,418.36 / $3,264.79	Facility		$1,571.93	$2,418.36	$3,264.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,571.93 / $2,176.52 / $5,178.18	Professional		$1,571.93	$2,176.52	$5,178.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,406.57	Facility		$1,167.30	$1,167.30	$2,406.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,491.23	Professional		$852.13	$852.13	$1,491.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $1,167.30	Professional		$852.13	$1,167.30	$1,167.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,025.92 / $1,410.64 / $1,849.34	Professional		$1,025.92	$1,410.64	$1,849.34
United Facility/Professional Professional Modifier Low / Median / High Price $776.65 / $1,206.49 / $1,535.09	Professional		$776.65	$1,206.49	$1,535.09