Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.98 / $1,736.98 / $4,321.00	Facility		$1,736.98	$1,736.98	$4,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.97 / $1,736.98 / $2,611.21	Professional		$1,692.97	$1,736.98	$2,611.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,340.34 / $3,913.07 / $10,138.42	Facility		$3,340.34	$3,913.07	$10,138.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,735.00 / $2,035.69 / $4,624.54	Professional		$1,735.00	$2,035.69	$4,624.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,023.74 / $3,023.74 / $3,023.74	Professional		$3,023.74	$3,023.74	$3,023.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,631.49 / $3,557.34 / $4,802.41	Facility		$2,631.49	$3,557.34	$4,802.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,312.27 / $3,201.61 / $7,616.98	Professional		$2,312.27	$3,201.61	$7,616.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,362.64	Facility		$2,117.90	$2,117.90	$4,362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $2,957.86	Professional		$1,546.07	$1,546.07	$2,957.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $2,117.90 / $2,117.90	Professional		$1,546.07	$2,117.90	$2,117.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,923.20 / $2,644.41 / $3,466.82	Professional		$1,923.20	$2,644.41	$3,466.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.14 / $1,774.72 / $2,605.67	Professional		$1,183.14	$1,774.72	$2,605.67