Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.34 / $2,011.34 / $4,583.00	Facility		$2,011.34	$2,011.34	$4,583.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.19 / $2,011.34 / $2,708.74	Professional		$1,886.19	$2,011.34	$2,708.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,141.80 / $2,141.80 / $2,141.80	Professional		$2,141.80	$2,141.80	$2,141.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,867.95 / $4,531.14 / $11,739.78	Facility		$3,867.95	$4,531.14	$11,739.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,009.50 / $2,148.37 / $5,354.98	Professional		$2,009.50	$2,148.37	$5,354.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,501.34 / $3,501.34 / $3,501.34	Professional		$3,501.34	$3,501.34	$3,501.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.92 / $4,119.22 / $5,560.95	Facility		$2,884.92	$4,119.22	$5,560.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,677.49 / $3,707.30 / $8,820.07	Professional		$2,677.49	$3,707.30	$8,820.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,430.43	Facility		$2,160.07	$2,160.07	$4,430.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,759.49	Professional		$1,576.85	$1,576.85	$2,759.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $2,160.07	Professional		$1,576.85	$2,160.07	$2,160.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,226.98 / $3,062.10 / $4,014.41	Professional		$2,226.98	$3,062.10	$4,014.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.02 / $2,055.04 / $2,657.57	Professional		$1,370.02	$2,055.04	$2,657.57