Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.24 / $1,257.24 / $3,179.00	Facility		$1,257.24	$1,257.24	$3,179.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,257.24 / $1,923.65	Professional		$1,123.65	$1,257.24	$1,923.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,417.77 / $2,832.31 / $7,338.27	Facility		$2,417.77	$2,832.31	$7,338.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,398.04 / $3,347.27	Professional		$1,289.99	$1,398.04	$3,347.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,931.12 / $2,574.83 / $3,604.76	Facility		$1,931.12	$2,574.83	$3,604.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,802.38 / $2,574.83 / $5,513.23	Professional		$1,802.38	$2,574.83	$5,513.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $3,575.62	Facility		$1,665.63	$1,665.63	$3,575.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $2,127.84	Professional		$1,215.91	$1,215.91	$2,127.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $1,665.63	Professional		$1,215.91	$1,665.63	$1,665.63
United Facility/Professional Professional Modifier Low / Median / High Price $856.37 / $1,284.55 / $1,866.03	Professional		$856.37	$1,284.55	$1,866.03