Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.34 / $2,096.34 / $4,470.00	Facility		$2,096.34	$2,096.34	$4,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.53 / $2,096.34 / $2,824.71	Professional		$1,814.53	$2,096.34	$2,824.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,031.40 / $4,722.62 / $12,235.88	Facility		$4,031.40	$4,722.62	$12,235.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,150.96 / $2,260.71 / $5,581.27	Professional		$2,150.96	$2,260.71	$5,581.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,790.64 / $4,293.29 / $5,795.94	Facility		$2,790.64	$4,293.29	$5,795.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,790.64 / $3,863.96 / $9,192.79	Professional		$2,790.64	$3,863.96	$9,192.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,782.93	Facility		$2,717.61	$2,717.61	$4,782.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $3,471.75	Professional		$1,983.86	$1,983.86	$3,471.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $2,717.61	Professional		$1,983.86	$2,717.61	$2,717.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,821.29 / $2,504.28 / $3,283.11	Professional		$1,821.29	$2,504.28	$3,283.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.92 / $2,141.88 / $2,844.80	Professional		$1,427.92	$2,141.88	$2,844.80