Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.08 / $1,190.08 / $2,646.00	Facility		$1,190.08	$1,190.08	$2,646.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.53 / $1,190.08 / $1,391.91	Professional		$950.53	$1,190.08	$1,391.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.62 / $2,681.02 / $6,946.28	Facility		$2,288.62	$2,681.02	$6,946.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.83 / $1,221.08 / $3,168.47	Professional		$1,126.83	$1,221.08	$3,168.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.24 / $2,437.29 / $3,290.34	Facility		$1,584.24	$2,437.29	$3,290.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.24 / $2,193.56 / $5,218.72	Professional		$1,584.24	$2,193.56	$5,218.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,397.58	Facility		$1,576.65	$1,576.65	$2,397.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $2,026.57	Professional		$1,150.95	$1,150.95	$2,026.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $1,576.65	Professional		$1,150.95	$1,576.65	$1,576.65
United Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,215.94 / $1,547.11	Professional		$780.00	$1,215.94	$1,547.11