Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,917.46 / $1,917.46 / $5,151.00	Facility		$1,917.46	$1,917.46	$5,151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,868.87 / $1,917.46 / $2,640.73	Professional		$1,868.87	$1,917.46	$2,640.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,687.41 / $4,319.64 / $11,191.81	Facility		$3,687.41	$4,319.64	$11,191.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,967.41 / $2,138.57 / $5,105.03	Professional		$1,967.41	$2,138.57	$5,105.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,945.21 / $3,926.95 / $5,301.38	Facility		$2,945.21	$3,926.95	$5,301.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,566.33 / $3,553.38 / $8,408.39	Professional		$2,566.33	$3,553.38	$8,408.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,626.79	Facility		$2,540.30	$2,540.30	$4,626.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,623.87	Professional		$1,854.42	$1,854.42	$2,623.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $2,540.30	Professional		$1,854.42	$2,540.30	$2,540.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.07 / $1,959.11 / $2,696.88	Professional		$1,306.07	$1,959.11	$2,696.88