Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.25 / $1,465.25 / $2,861.00	Facility		$1,465.25	$1,465.25	$2,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.01 / $1,465.25 / $1,847.68	Professional		$1,118.01	$1,465.25	$1,847.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,817.77 / $3,300.90 / $8,552.34	Facility		$2,817.77	$3,300.90	$8,552.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,503.43 / $3,901.06	Professional		$1,369.38	$1,503.43	$3,901.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $3,000.82 / $4,051.11	Facility		$1,938.00	$3,000.82	$4,051.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,950.53 / $2,700.74 / $6,425.36	Professional		$1,950.53	$2,700.74	$6,425.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,975.18	Facility		$1,424.68	$1,424.68	$2,975.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $2,495.13	Professional		$1,040.02	$1,040.02	$2,495.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,424.68 / $1,424.68	Professional		$1,040.02	$1,424.68	$1,424.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,272.99 / $1,750.36 / $2,294.72	Professional		$1,272.99	$1,750.36	$2,294.72
United Facility/Professional Professional Modifier Low / Median / High Price $947.89 / $1,497.08 / $2,072.94	Professional		$947.89	$1,497.08	$2,072.94