Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,488.92 / $2,488.92 / $6,703.00	Facility		$2,488.92	$2,488.92	$6,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.51 / $2,488.92 / $2,911.02	Professional		$1,892.51	$2,488.92	$2,911.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.37 / $5,607.04 / $14,527.33	Facility		$4,786.37	$5,607.04	$14,527.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.10 / $2,553.78 / $6,626.50	Professional		$2,296.10	$2,553.78	$6,626.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,280.56 / $5,097.31 / $6,881.37	Facility		$3,280.56	$5,097.31	$6,881.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,313.25 / $4,587.58 / $10,914.36	Professional		$3,313.25	$4,587.58	$10,914.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $4,954.72	Facility		$3,297.39	$3,297.39	$4,954.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $4,238.32	Professional		$2,407.09	$2,407.09	$4,238.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,297.39 / $3,297.39	Professional		$2,407.09	$3,297.39	$3,297.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,162.35 / $2,973.23 / $3,897.90	Professional		$2,162.35	$2,973.23	$3,897.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,589.37 / $2,520.31 / $3,235.60	Professional		$1,589.37	$2,520.31	$3,235.60