Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.28 / $1,348.28 / $3,536.00	Facility		$1,348.28	$1,348.28	$3,536.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.11 / $1,348.28 / $1,856.89	Professional		$1,314.11	$1,348.28	$1,856.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.83 / $3,037.40 / $7,869.62	Facility		$2,592.83	$3,037.40	$7,869.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.41 / $1,487.71 / $3,589.65	Professional		$1,383.41	$1,487.71	$3,589.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,070.94 / $2,761.27 / $3,727.71	Facility		$2,070.94	$2,761.27	$3,727.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,804.52 / $2,498.57 / $5,912.43	Professional		$1,804.52	$2,498.57	$5,912.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $3,253.34	Facility		$1,786.24	$1,786.24	$3,253.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,845.00	Professional		$1,303.96	$1,303.96	$1,845.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $1,786.24	Professional		$1,303.96	$1,786.24	$1,786.24
United Facility/Professional Professional Modifier Low / Median / High Price $918.38 / $1,377.57 / $1,896.34	Professional		$918.38	$1,377.57	$1,896.34