Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,239.19 / $2,239.19 / $5,754.00	Facility		$2,239.19	$2,239.19	$5,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,182.15 / $2,239.19 / $3,684.25	Professional		$2,182.15	$2,239.19	$3,684.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,306.13 / $5,044.46 / $13,069.73	Facility		$4,306.13	$5,044.46	$13,069.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,237.00 / $2,672.78 / $5,961.63	Professional		$2,237.00	$2,672.78	$5,961.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $3,897.99 / $3,897.99	Professional		$3,897.99	$3,897.99	$3,897.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,337.61 / $4,585.87 / $6,190.92	Facility		$3,337.61	$4,585.87	$6,190.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,980.82 / $4,127.28 / $9,819.26	Professional		$2,980.82	$4,127.28	$9,819.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,755.24	Facility		$2,780.72	$2,780.72	$5,755.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $3,552.37	Professional		$2,029.93	$2,029.93	$3,552.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $2,780.72	Professional		$2,029.93	$2,780.72	$2,780.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,945.39 / $2,674.91 / $3,506.81	Professional		$1,945.39	$2,674.91	$3,506.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.22 / $2,287.84 / $3,421.15	Professional		$1,525.22	$2,287.84	$3,421.15