Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.08 / $1,984.08 / $4,646.00	Facility		$1,984.08	$1,984.08	$4,646.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $1,984.08 / $2,729.70	Professional		$1,933.80	$1,984.08	$2,729.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,815.52 / $4,469.72 / $11,580.66	Facility		$3,815.52	$4,469.72	$11,580.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.25 / $2,207.84 / $5,282.40	Professional		$1,982.25	$2,207.84	$5,282.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,047.54 / $4,063.39 / $5,485.58	Facility		$3,047.54	$4,063.39	$5,485.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,655.48 / $3,676.82 / $8,700.53	Professional		$2,655.48	$3,676.82	$8,700.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,787.53	Facility		$2,282.71	$2,282.71	$4,787.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $3,378.63	Professional		$1,666.39	$1,666.39	$3,378.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $2,282.71 / $2,282.71	Professional		$1,666.39	$2,282.71	$2,282.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,723.74 / $2,370.14 / $3,107.26	Professional		$1,723.74	$2,370.14	$3,107.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.45 / $2,027.18 / $2,808.47	Professional		$1,351.45	$2,027.18	$2,808.47