Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.02 / $1,861.02 / $3,514.00	Facility		$1,861.02	$1,861.02	$3,514.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.86 / $1,861.02 / $2,563.02	Professional		$1,813.86	$1,861.02	$2,563.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,578.88 / $4,192.51 / $10,862.40	Facility		$3,578.88	$4,192.51	$10,862.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,414.94 / $4,839.99 / $7,797.22	Professional		$3,414.94	$4,839.99	$7,797.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,858.53 / $3,811.37 / $5,145.35	Facility		$2,858.53	$3,811.37	$5,145.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,490.80 / $3,448.80 / $8,160.91	Professional		$2,490.80	$3,448.80	$8,160.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $4,490.63	Facility		$2,381.07	$2,381.07	$4,490.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $3,041.82	Professional		$1,738.18	$1,738.18	$3,041.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $2,381.07	Professional		$1,738.18	$2,381.07	$2,381.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.63 / $1,901.45 / $2,618.15	Professional		$1,267.63	$1,901.45	$2,618.15