Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.26 / $2,666.26 / $6,695.00	Facility		$2,666.26	$2,666.26	$6,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,244.27 / $2,666.26 / $3,326.12	Professional		$2,244.27	$2,666.26	$3,326.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,127.41 / $6,006.55 / $15,562.43	Facility		$5,127.41	$6,006.55	$15,562.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,735.73 / $2,796.11 / $7,098.65	Professional		$2,735.73	$2,796.11	$7,098.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,549.33 / $5,460.50 / $7,371.68	Facility		$3,549.33	$5,460.50	$7,371.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,549.33 / $4,914.45 / $11,692.02	Professional		$3,549.33	$4,914.45	$11,692.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $5,902.32	Facility		$3,532.34	$3,532.34	$5,902.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $4,512.56	Professional		$2,578.61	$2,578.61	$4,512.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $3,532.34	Professional		$2,578.61	$3,532.34	$3,532.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,316.41 / $3,185.07 / $4,175.62	Professional		$2,316.41	$3,185.07	$4,175.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,816.12 / $2,724.19 / $3,518.54	Professional		$1,816.12	$2,724.19	$3,518.54