Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.68 / $1,568.68 / $3,355.00	Facility		$1,568.68	$1,568.68	$3,355.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.44 / $1,568.68 / $2,068.23	Professional		$1,201.44	$1,568.68	$2,068.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,016.69 / $3,533.93 / $9,156.08	Facility		$3,016.69	$3,533.93	$9,156.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,471.56 / $1,609.55 / $4,176.45	Professional		$1,471.56	$1,609.55	$4,176.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,730.76 / $2,730.76 / $2,730.76	Professional		$2,730.76	$2,730.76	$2,730.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,082.62 / $3,212.66 / $4,337.09	Facility		$2,082.62	$3,212.66	$4,337.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,088.23 / $2,891.39 / $6,878.95	Professional		$2,088.23	$2,891.39	$6,878.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,206.42	Facility		$1,787.17	$1,787.17	$3,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $2,671.27	Professional		$1,304.63	$1,304.63	$2,671.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $1,787.17	Facility		$1,787.17	$1,787.17	$1,787.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,787.17 / $1,787.17	Professional		$1,304.63	$1,787.17	$1,787.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,362.84 / $1,873.91 / $2,456.70	Professional		$1,362.84	$1,873.91	$2,456.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.62 / $1,602.76 / $2,039.28	Professional		$1,018.62	$1,602.76	$2,039.28