Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.95 / $1,170.95 / $2,288.00	Facility		$1,170.95	$1,170.95	$2,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.95 / $1,170.95 / $1,678.04	Professional		$933.95	$1,170.95	$1,678.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,251.83 / $2,637.92 / $6,834.61	Facility		$2,251.83	$2,637.92	$6,834.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.94 / $1,201.45 / $3,117.54	Professional		$1,143.94	$1,201.45	$3,117.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,558.77 / $2,398.11 / $3,237.45	Facility		$1,558.77	$2,398.11	$3,237.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,558.77 / $2,158.30 / $5,134.83	Professional		$1,558.77	$2,158.30	$5,134.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,431.35	Facility		$1,551.30	$1,551.30	$2,431.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,981.79	Professional		$1,132.45	$1,132.45	$1,981.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $1,551.30	Professional		$1,132.45	$1,551.30	$1,551.30
United Facility/Professional Professional Modifier Low / Median / High Price $791.84 / $1,196.38 / $1,522.24	Professional		$791.84	$1,196.38	$1,522.24