Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,976.53 / $2,976.53 / $7,703.00	Facility		$2,976.53	$2,976.53	$7,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,723.07 / $2,976.53 / $3,621.61	Professional		$2,723.07	$2,976.53	$3,621.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,724.08 / $6,705.52 / $17,373.40	Facility		$5,724.08	$6,705.52	$17,373.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,054.08 / $3,194.59 / $7,924.70	Professional		$3,054.08	$3,194.59	$7,924.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,164.93 / $6,095.93 / $8,229.51	Facility		$4,164.93	$6,095.93	$8,229.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,962.35 / $5,486.34 / $13,052.61	Professional		$3,962.35	$5,486.34	$13,052.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $6,811.37	Facility		$3,943.38	$3,943.38	$6,811.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $5,037.67	Professional		$2,878.67	$2,878.67	$5,037.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $3,943.38	Professional		$2,878.67	$3,943.38	$3,943.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,585.98 / $3,555.72 / $4,661.55	Professional		$2,585.98	$3,555.72	$4,661.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,027.46 / $3,041.19 / $4,038.60	Professional		$2,027.46	$3,041.19	$4,038.60