Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.46 / $2,616.46 / $6,221.00	Facility		$2,616.46	$2,616.46	$6,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,192.69 / $2,616.46 / $3,421.79	Professional		$2,192.69	$2,616.46	$3,421.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,031.66 / $5,894.38 / $15,271.81	Facility		$5,031.66	$5,894.38	$15,271.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,684.65 / $2,731.85 / $6,966.08	Professional		$2,684.65	$2,731.85	$6,966.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,483.04 / $5,358.53 / $7,234.02	Facility		$3,483.04	$5,358.53	$7,234.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,483.04 / $4,822.68 / $11,473.68	Professional		$3,483.04	$4,822.68	$11,473.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,853.85	Facility		$3,813.78	$3,813.78	$5,853.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $4,455.52	Professional		$2,784.06	$2,784.06	$4,455.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $3,813.78	Professional		$2,784.06	$3,813.78	$3,813.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,273.16 / $3,125.60 / $4,097.66	Professional		$2,273.16	$3,125.60	$4,097.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.21 / $2,673.31 / $3,437.68	Professional		$1,782.21	$2,673.31	$3,437.68