Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.23 / $1,077.23 / $2,857.00	Facility		$1,077.23	$1,077.23	$2,857.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $1,077.23 / $1,490.90	Professional		$811.35	$1,077.23	$1,490.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,071.58 / $2,426.78 / $6,287.56	Facility		$2,071.58	$2,426.78	$6,287.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.78 / $1,105.30 / $2,868.00	Professional		$993.78	$1,105.30	$2,868.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,406.43 / $2,206.16 / $2,978.32	Facility		$1,406.43	$2,206.16	$2,978.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,434.00 / $1,985.54 / $4,723.83	Professional		$1,434.00	$1,985.54	$4,723.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $2,156.42	Facility		$1,427.14	$1,427.14	$2,156.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,834.38	Professional		$1,041.81	$1,041.81	$1,834.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $1,427.14	Professional		$1,041.81	$1,427.14	$1,427.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $935.88 / $1,286.84 / $1,687.05	Professional		$935.88	$1,286.84	$1,687.05
United Facility/Professional Professional Modifier Low / Median / High Price $687.90 / $1,100.63 / $1,400.39	Professional		$687.90	$1,100.63	$1,400.39