Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.27 / $2,371.27 / $5,068.00	Facility		$2,371.27	$2,371.27	$5,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,803.21 / $2,371.27 / $3,001.94	Professional		$1,803.21	$2,371.27	$3,001.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,560.10 / $5,341.99 / $13,840.60	Facility		$4,560.10	$5,341.99	$13,840.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.55 / $2,433.05 / $6,313.25	Professional		$2,187.55	$2,433.05	$6,313.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,125.75 / $4,856.35 / $6,556.07	Facility		$3,125.75	$4,856.35	$6,556.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,156.63 / $4,370.72 / $10,398.42	Professional		$3,156.63	$4,370.72	$10,398.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $4,659.83	Facility		$3,141.52	$3,141.52	$4,659.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $4,037.96	Professional		$2,293.31	$2,293.31	$4,037.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,141.52 / $3,141.52	Professional		$2,293.31	$3,141.52	$3,141.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,060.12 / $2,832.67 / $3,713.63	Professional		$2,060.12	$2,832.67	$3,713.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.24 / $2,422.78 / $3,082.64	Professional		$1,514.24	$2,422.78	$3,082.64