Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.41 / $1,386.41 / $3,742.00	Facility		$1,386.41	$1,386.41	$3,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.27 / $1,386.41 / $1,909.37	Professional		$1,351.27	$1,386.41	$1,909.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.16 / $3,123.30 / $8,092.18	Facility		$2,666.16	$3,123.30	$8,092.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.27 / $1,523.40 / $3,691.16	Professional		$1,280.27	$1,523.40	$3,691.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,413.46 / $2,413.46 / $2,413.46	Professional		$2,413.46	$2,413.46	$2,413.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,129.52 / $2,839.36 / $3,833.14	Facility		$2,129.52	$2,839.36	$3,833.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,855.57 / $2,569.26 / $6,079.64	Professional		$1,855.57	$2,569.26	$6,079.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,345.38	Facility		$1,584.92	$1,584.92	$3,345.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $2,024.74	Professional		$1,156.99	$1,156.99	$2,024.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $1,584.92	Professional		$1,156.99	$1,584.92	$1,584.92
United Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,416.52 / $1,949.95	Professional		$944.35	$1,416.52	$1,949.95