Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.78 / $1,318.78 / $2,813.00	Facility		$1,318.78	$1,318.78	$2,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.80 / $1,318.78 / $1,558.28	Professional		$1,147.80	$1,318.78	$1,558.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.10 / $2,970.94 / $7,697.42	Facility		$2,536.10	$2,970.94	$7,697.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.14 / $1,381.04 / $3,511.10	Professional		$1,353.14	$1,381.04	$3,511.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,989.65 / $2,700.85 / $3,646.15	Facility		$1,989.65	$2,700.85	$3,646.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,755.55 / $2,430.77 / $5,783.06	Professional		$1,755.55	$2,430.77	$5,783.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $3,124.25	Facility		$1,747.16	$1,747.16	$3,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $2,232.00	Professional		$1,275.43	$1,275.43	$2,232.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $1,747.16	Facility		$1,747.16	$1,747.16	$1,747.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $1,747.16	Professional		$1,275.43	$1,747.16	$1,747.16
United Facility/Professional Professional Modifier Low / Median / High Price $898.28 / $1,347.43 / $1,737.86	Professional		$898.28	$1,347.43	$1,737.86