Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.36 / $1,069.36 / $2,707.00	Facility		$1,069.36	$1,069.36	$2,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.27 / $1,069.36 / $1,472.78	Professional		$1,042.27	$1,069.36	$1,472.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,056.48 / $2,409.08 / $6,241.70	Facility		$2,056.48	$2,409.08	$6,241.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.40 / $1,191.05 / $2,847.09	Professional		$1,068.40	$1,191.05	$2,847.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,642.55 / $2,190.07 / $2,956.59	Facility		$1,642.55	$2,190.07	$2,956.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,431.30 / $1,981.80 / $4,689.38	Professional		$1,431.30	$1,981.80	$4,689.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,580.46	Facility		$1,222.54	$1,222.54	$2,580.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,821.00	Professional		$892.45	$892.45	$1,821.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,222.54 / $1,222.54	Professional		$892.45	$1,222.54	$1,222.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,608.67	Facility		$2,217.37	$2,217.37	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $728.40 / $1,092.59 / $1,504.11	Professional		$728.40	$1,092.59	$1,504.11