Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.19 / $1,171.19 / $3,134.00	Facility		$1,171.19	$1,171.19	$3,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.75 / $1,171.19 / $1,684.35	Professional		$1,138.75	$1,171.19	$1,684.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,252.29 / $2,638.46 / $6,836.01	Facility		$2,252.29	$2,638.46	$6,836.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,367.87 / $3,118.18	Professional		$1,170.00	$1,367.87	$3,118.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,798.95 / $2,398.60 / $3,238.11	Facility		$1,798.95	$2,398.60	$3,238.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,559.09 / $2,158.73 / $5,135.88	Professional		$1,559.09	$2,158.73	$5,135.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,979.08	Facility		$1,654.54	$1,654.54	$2,979.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,994.38	Professional		$1,207.81	$1,207.81	$1,994.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $1,654.54	Professional		$1,207.81	$1,654.54	$1,654.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,399.06 / $1,834.17	Professional		$1,017.50	$1,399.06	$1,834.17
United Facility/Professional Professional Modifier Low / Median / High Price $797.75 / $1,196.63 / $1,750.88	Professional		$797.75	$1,196.63	$1,750.88