Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.06 / $2,827.06 / $6,883.00	Facility		$2,827.06	$2,827.06	$6,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,651.14 / $2,827.06 / $4,682.35	Professional		$2,651.14	$2,827.06	$4,682.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,436.63 / $6,368.79 / $16,500.96	Facility		$5,436.63	$6,368.79	$16,500.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,900.72 / $3,171.15 / $7,526.75	Professional		$2,900.72	$3,171.15	$7,526.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,054.92 / $5,789.81 / $7,816.24	Facility		$4,054.92	$5,789.81	$7,816.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,763.38 / $5,210.83 / $12,397.14	Professional		$3,763.38	$5,210.83	$12,397.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $6,748.33	Facility		$3,745.37	$3,745.37	$6,748.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $4,814.12	Professional		$2,734.12	$2,734.12	$4,814.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $3,612.50 / $3,745.37	Professional		$2,734.12	$3,612.50	$3,745.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,456.12 / $3,377.17 / $4,427.47	Professional		$2,456.12	$3,377.17	$4,427.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,925.65 / $2,888.47 / $4,008.86	Professional		$1,925.65	$2,888.47	$4,008.86