Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.16 / $1,195.16 / $2,665.00	Facility		$1,195.16	$1,195.16	$2,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.88 / $1,195.16 / $1,646.02	Professional		$1,164.88	$1,195.16	$1,646.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,298.38 / $2,692.46 / $6,975.92	Facility		$2,298.38	$2,692.46	$6,975.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.68 / $1,313.28 / $3,181.99	Professional		$1,103.68	$1,313.28	$3,181.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,835.77 / $2,447.69 / $3,304.38	Facility		$1,835.77	$2,447.69	$3,304.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,599.63 / $2,214.87 / $5,240.99	Professional		$1,599.63	$2,214.87	$5,240.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,883.95	Facility		$1,366.32	$1,366.32	$2,883.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,745.47	Professional		$997.41	$997.41	$1,745.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $1,366.32	Professional		$997.41	$1,366.32	$1,366.32
United Facility/Professional Professional Modifier Low / Median / High Price $814.08 / $1,215.15 / $1,681.00	Professional		$814.08	$1,215.15	$1,681.00