Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,100.32 / $2,100.32 / $4,595.00	Facility		$2,100.32	$2,100.32	$4,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.26 / $2,100.32 / $2,467.67	Professional		$1,696.26	$2,100.32	$2,467.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,039.07 / $4,731.60 / $12,259.16	Facility		$4,039.07	$4,731.60	$12,259.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.55 / $2,155.06 / $5,591.89	Professional		$2,037.55	$2,155.06	$5,591.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,898.05 / $4,301.46 / $5,806.97	Facility		$2,898.05	$4,301.46	$5,806.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,795.95 / $3,871.31 / $9,210.29	Professional		$2,795.95	$3,871.31	$9,210.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $4,371.60	Facility		$2,782.58	$2,782.58	$4,371.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $3,576.58	Professional		$2,031.28	$2,031.28	$3,576.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $2,782.58	Facility		$2,782.58	$2,782.58	$2,782.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,782.58 / $2,782.58	Professional		$2,031.28	$2,782.58	$2,782.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,410.40 / $2,145.94 / $2,747.70	Professional		$1,410.40	$2,145.94	$2,747.70