Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.56 / $1,177.56 / $2,871.00	Facility		$1,177.56	$1,177.56	$2,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.72 / $1,177.56 / $1,621.75	Professional		$1,147.72	$1,177.56	$1,621.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,264.53 / $2,652.80 / $6,873.17	Facility		$2,264.53	$2,652.80	$6,873.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.24 / $1,353.22 / $3,135.13	Professional		$1,208.24	$1,353.22	$3,135.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,049.89 / $2,049.89 / $2,049.89	Professional		$2,049.89	$2,049.89	$2,049.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,808.73 / $2,411.64 / $3,255.71	Facility		$1,808.73	$2,411.64	$3,255.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,576.06 / $2,182.23 / $5,163.80	Professional		$1,576.06	$2,182.23	$5,163.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,841.44	Facility		$1,346.19	$1,346.19	$2,841.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,719.76	Professional		$982.72	$982.72	$1,719.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $1,346.19	Professional		$982.72	$1,346.19	$1,346.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,191.52 / $1,638.35 / $2,147.87	Professional		$1,191.52	$1,638.35	$2,147.87
United Facility/Professional Professional Modifier Low / Median / High Price $802.10 / $1,203.14 / $1,656.24	Professional		$802.10	$1,203.14	$1,656.24