Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.80 / $1,871.80 / $5,084.00	Facility		$1,871.80	$1,871.80	$5,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.58 / $1,871.80 / $2,421.46	Professional		$1,523.58	$1,871.80	$2,421.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,599.61 / $4,216.80 / $10,925.33	Facility		$3,599.61	$4,216.80	$10,925.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.13 / $1,920.58 / $4,983.47	Professional		$1,866.13	$1,920.58	$4,983.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,491.73 / $3,833.45 / $5,175.16	Facility		$2,491.73	$3,833.45	$5,175.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,491.73 / $3,450.11 / $8,208.18	Professional		$2,491.73	$3,450.11	$8,208.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $4,040.95	Facility		$2,479.82	$2,479.82	$4,040.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $3,167.97	Professional		$1,810.27	$1,810.27	$3,167.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $2,479.82	Professional		$1,810.27	$2,479.82	$2,479.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,626.20 / $2,236.03 / $2,931.44	Professional		$1,626.20	$2,236.03	$2,931.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.98 / $1,912.47 / $2,583.48	Professional		$1,274.98	$1,912.47	$2,583.48