Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,358.54 / $2,358.54 / $5,640.00	Facility		$2,358.54	$2,358.54	$5,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.77 / $2,358.54 / $3,248.21	Professional		$2,298.77	$2,358.54	$3,248.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,535.64 / $5,313.32 / $13,766.33	Facility		$4,535.64	$5,313.32	$13,766.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.00 / $2,697.81 / $6,279.37	Professional		$2,420.00	$2,697.81	$6,279.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4,105.75 / $4,105.75 / $4,105.75	Professional		$4,105.75	$4,105.75	$4,105.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,622.72 / $4,830.29 / $6,520.89	Facility		$3,622.72	$4,830.29	$6,520.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,156.69 / $4,370.81 / $10,342.62	Professional		$3,156.69	$4,370.81	$10,342.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $5,691.16	Facility		$2,886.72	$2,886.72	$5,691.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $3,227.47	Professional		$2,107.31	$2,107.31	$3,227.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $2,886.72	Professional		$2,107.31	$2,886.72	$2,886.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $5,753.36	Facility		$4,890.35	$4,890.35	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,606.52 / $2,409.78 / $3,317.27	Professional		$1,606.52	$2,409.78	$3,317.27