Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.16 / $1,859.16 / $4,295.00	Facility		$1,859.16	$1,859.16	$4,295.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.04 / $1,859.16 / $2,560.42	Professional		$1,812.04	$1,859.16	$2,560.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,575.29 / $4,188.31 / $10,851.52	Facility		$3,575.29	$4,188.31	$10,851.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,907.60 / $2,068.50 / $4,949.81	Professional		$1,907.60	$2,068.50	$4,949.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,855.66 / $3,807.55 / $5,140.18	Facility		$2,855.66	$3,807.55	$5,140.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $3,445.36 / $8,152.73	Professional		$2,488.32	$3,445.36	$8,152.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $4,486.14	Facility		$2,463.07	$2,463.07	$4,486.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $3,146.57	Professional		$1,798.04	$1,798.04	$3,146.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $2,463.07	Professional		$1,798.04	$2,463.07	$2,463.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.35 / $1,899.55 / $2,691.29	Professional		$1,266.35	$1,899.55	$2,691.29