Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,298.73 / $2,298.73 / $5,310.00	Facility		$2,298.73	$2,298.73	$5,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,155.69 / $2,298.73 / $3,337.72	Professional		$2,155.69	$2,298.73	$3,337.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,420.62 / $5,178.58 / $13,417.23	Facility		$4,420.62	$5,178.58	$13,417.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,358.64 / $2,516.48 / $6,120.14	Professional		$2,358.64	$2,516.48	$6,120.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,297.15 / $4,707.80 / $6,355.53	Facility		$3,297.15	$4,707.80	$6,355.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,060.07 / $4,237.02 / $10,080.34	Professional		$3,060.07	$4,237.02	$10,080.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $5,215.55	Facility		$3,364.97	$3,364.97	$5,215.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,914.45	Professional		$2,456.42	$2,456.42	$3,914.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $3,364.97	Professional		$2,456.42	$3,364.97	$3,364.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,997.12 / $2,746.04 / $3,600.05	Professional		$1,997.12	$2,746.04	$3,600.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,565.78 / $2,327.71 / $3,127.45	Professional		$1,565.78	$2,327.71	$3,127.45