Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.12 / $1,487.12 / $3,467.00	Facility		$1,487.12	$1,487.12	$3,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.16 / $1,487.12 / $1,760.15	Professional		$1,231.16	$1,487.12	$1,760.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,859.83 / $3,350.17 / $8,679.99	Facility		$2,859.83	$3,350.17	$8,679.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.74 / $1,526.81 / $3,959.29	Professional		$1,485.74	$1,526.81	$3,959.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,027.96 / $3,045.61 / $4,111.57	Facility		$2,027.96	$3,045.61	$4,111.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,979.65 / $2,741.05 / $6,521.26	Professional		$1,979.65	$2,741.05	$6,521.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $3,257.59	Facility		$2,119.51	$2,119.51	$3,257.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,532.37	Professional		$1,547.24	$1,547.24	$2,532.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $2,119.51	Professional		$1,547.24	$2,119.51	$2,119.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,494.50 / $2,135.00 / $3,078.88	Professional		$1,494.50	$2,135.00	$3,078.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.95 / $1,519.42 / $1,933.25	Professional		$1,012.95	$1,519.42	$1,933.25