Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.77 / $1,420.77 / $3,813.00	Facility		$1,420.77	$1,420.77	$3,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.77 / $1,420.77 / $2,054.26	Professional		$1,384.77	$1,420.77	$2,054.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,732.25 / $3,200.71 / $8,292.76	Facility		$2,732.25	$3,200.71	$8,292.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.79 / $1,715.30 / $3,807.96	Professional		$1,457.79	$1,715.30	$3,807.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,182.31 / $2,909.74 / $3,928.15	Facility		$2,182.31	$2,909.74	$3,928.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,618.77 / $6,230.34	Professional		$1,891.33	$2,618.77	$6,230.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,708.82	Facility		$2,050.41	$2,050.41	$3,708.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $2,419.39	Professional		$1,496.80	$1,496.80	$2,419.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $2,050.41 / $2,050.41	Professional		$1,496.80	$2,050.41	$2,050.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,234.35 / $1,697.23 / $2,225.07	Professional		$1,234.35	$1,697.23	$2,225.07
United Facility/Professional Professional Modifier Low / Median / High Price $967.76 / $1,451.63 / $2,195.59	Professional		$967.76	$1,451.63	$2,195.59