Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.19 / $2,189.19 / $5,580.00	Facility		$2,189.19	$2,189.19	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,133.71 / $2,189.19 / $3,014.98	Professional		$2,133.71	$2,189.19	$3,014.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.96 / $4,931.80 / $12,777.83	Facility		$4,209.96	$4,931.80	$12,777.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.23 / $2,515.77 / $5,828.48	Professional		$2,246.23	$2,515.77	$5,828.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,810.93 / $3,810.93 / $3,810.93	Professional		$3,810.93	$3,810.93	$3,810.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,362.59 / $4,483.45 / $6,052.66	Facility		$3,362.59	$4,483.45	$6,052.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,930.03 / $4,056.97 / $9,599.95	Professional		$2,930.03	$4,056.97	$9,599.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $5,282.51	Facility		$2,502.67	$2,502.67	$5,282.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,995.72	Professional		$1,826.95	$1,826.95	$2,995.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $2,502.67	Professional		$1,826.95	$2,502.67	$2,502.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,901.94 / $2,615.17 / $3,428.49	Professional		$1,901.94	$2,615.17	$3,428.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,491.16 / $2,236.75 / $3,079.07	Professional		$1,491.16	$2,236.75	$3,079.07