Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.99 / $1,896.99 / $4,551.00	Facility		$1,896.99	$1,896.99	$4,551.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.45 / $1,896.99 / $2,566.46	Professional		$1,580.45	$1,896.99	$2,566.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,648.04 / $4,273.53 / $11,072.34	Facility		$3,648.04	$4,273.53	$11,072.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.78 / $1,947.88 / $5,050.53	Professional		$1,935.78	$1,947.88	$5,050.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,573.08 / $3,885.03 / $5,244.79	Facility		$2,573.08	$3,885.03	$5,244.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,525.27 / $3,496.53 / $8,318.62	Professional		$2,525.27	$3,496.53	$8,318.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $4,155.42	Facility		$2,561.34	$2,561.34	$4,155.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $3,230.33	Professional		$1,869.78	$1,869.78	$3,230.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $2,561.34	Professional		$1,869.78	$2,561.34	$2,561.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,648.09 / $2,266.13 / $2,970.89	Professional		$1,648.09	$2,266.13	$2,970.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.13 / $1,938.20 / $2,477.80	Professional		$1,292.13	$1,938.20	$2,477.80