Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.45 / $1,032.45 / $2,457.00	Facility		$1,032.45	$1,032.45	$2,457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.29 / $1,032.45 / $1,597.75	Professional		$1,006.29	$1,032.45	$1,597.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,985.48 / $2,325.91 / $6,026.21	Facility		$1,985.48	$2,325.91	$6,026.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.34 / $1,227.57 / $2,748.79	Professional		$1,059.34	$1,227.57	$2,748.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,585.85 / $2,114.46 / $2,854.52	Facility		$1,585.85	$2,114.46	$2,854.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,374.40 / $1,903.01 / $4,527.47	Professional		$1,374.40	$1,903.01	$4,527.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,513.51	Facility		$1,367.82	$1,367.82	$2,513.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,747.39	Professional		$998.51	$998.51	$1,747.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $1,367.82	Professional		$998.51	$1,367.82	$1,367.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $896.97 / $1,233.34 / $1,616.91	Professional		$896.97	$1,233.34	$1,616.91
United Facility/Professional Facility Modifier Low / Median / High Price $921.60 / $1,536.00 / $1,691.57	Facility		$921.60	$1,536.00	$1,691.57
United Facility/Professional Professional Modifier Low / Median / High Price $703.25 / $1,054.88 / $1,571.29	Professional		$703.25	$1,054.88	$1,571.29