Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.51 / $1,830.51 / $4,379.00	Facility		$1,830.51	$1,830.51	$4,379.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.26 / $1,830.51 / $2,177.51	Professional		$1,701.26	$1,830.51	$2,177.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.19 / $4,123.76 / $10,684.28	Facility		$3,520.19	$4,123.76	$10,684.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,878.20 / $1,929.14 / $4,873.53	Professional		$1,878.20	$1,929.14	$4,873.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,650.90 / $3,748.87 / $5,060.97	Facility		$2,650.90	$3,748.87	$5,060.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,436.77 / $3,373.98 / $8,027.08	Professional		$2,436.77	$3,373.98	$8,027.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $4,025.01	Facility		$2,425.11	$2,425.11	$4,025.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $3,098.08	Professional		$1,770.33	$1,770.33	$3,098.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $2,425.11	Professional		$1,770.33	$2,425.11	$2,425.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.84 / $1,870.28 / $2,427.57	Professional		$1,246.84	$1,870.28	$2,427.57