Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,813.65 / $2,813.65 / $6,848.00	Facility		$2,813.65	$2,813.65	$6,848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,677.57 / $2,813.65 / $3,959.07	Professional		$2,677.57	$2,813.65	$3,959.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.86 / $6,338.60 / $16,422.73	Facility		$5,410.86	$6,338.60	$16,422.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.53 / $908.47 / $7,479.54	Professional		$699.53	$908.47	$7,479.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,138.09 / $5,762.36 / $7,779.19	Facility		$4,138.09	$5,762.36	$7,779.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,745.53 / $5,186.12 / $12,338.37	Professional		$3,745.53	$5,186.12	$12,338.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $6,587.35	Facility		$3,728.42	$3,728.42	$6,587.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $4,763.06	Professional		$2,721.75	$2,721.75	$4,763.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $3,728.42	Professional		$2,721.75	$3,728.42	$3,728.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,068.00 / $4,218.50 / $5,530.45	Professional		$3,068.00	$4,218.50	$5,530.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,916.52 / $2,874.78 / $3,948.74	Professional		$1,916.52	$2,874.78	$3,948.74