Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.01 / $1,869.01 / $4,322.00	Facility		$1,869.01	$1,869.01	$4,322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.49 / $1,869.01 / $2,260.77	Professional		$1,698.49	$1,869.01	$2,260.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,594.23 / $4,210.49 / $10,909.00	Facility		$3,594.23	$4,210.49	$10,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,908.56 / $1,932.42 / $4,976.03	Professional		$1,908.56	$1,932.42	$4,976.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,701.08 / $3,827.72 / $5,167.42	Facility		$2,701.08	$3,827.72	$5,167.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,488.02 / $3,444.95 / $8,195.91	Professional		$2,488.02	$3,444.95	$8,195.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $4,129.04	Facility		$2,476.09	$2,476.09	$4,129.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,966.17	Professional		$1,807.55	$1,807.55	$2,966.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,476.09 / $2,476.09	Professional		$1,807.55	$2,476.09	$2,476.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,623.76 / $2,232.68 / $2,927.04	Professional		$1,623.76	$2,232.68	$2,927.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.07 / $1,909.60 / $2,442.96	Professional		$1,273.07	$1,909.60	$2,442.96