Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.01 / $1,480.01 / $3,397.00	Facility		$1,480.01	$1,480.01	$3,397.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.33 / $1,480.01 / $1,731.00	Professional		$1,228.33	$1,480.01	$1,731.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,846.16 / $3,334.16 / $8,638.49	Facility		$2,846.16	$3,334.16	$8,638.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.48 / $1,518.57 / $3,940.36	Professional		$1,475.48	$1,518.57	$3,940.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,136.61 / $3,031.05 / $4,091.92	Facility		$2,136.61	$3,031.05	$4,091.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,970.18 / $2,727.95 / $6,490.08	Professional		$1,970.18	$2,727.95	$6,490.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $3,338.45	Facility		$1,960.76	$1,960.76	$3,338.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $2,504.87	Professional		$1,431.35	$1,431.35	$2,504.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $1,960.76	Professional		$1,431.35	$1,960.76	$1,960.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.10 / $1,512.16 / $1,936.17	Professional		$1,008.10	$1,512.16	$1,936.17