Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.13 / $1,602.13 / $3,083.00	Facility		$1,602.13	$1,602.13	$3,083.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.93 / $1,602.13 / $2,158.35	Professional		$1,313.93	$1,602.13	$2,158.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,081.00 / $3,609.27 / $9,351.28	Facility		$3,081.00	$3,609.27	$9,351.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,609.35 / $1,643.87 / $4,265.49	Professional		$1,609.35	$1,643.87	$4,265.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,132.75 / $3,281.15 / $4,429.55	Facility		$2,132.75	$3,281.15	$4,429.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,132.75 / $2,953.04 / $7,025.60	Professional		$2,132.75	$2,953.04	$7,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,461.73	Facility		$2,283.76	$2,283.76	$3,461.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,728.21	Professional		$1,667.14	$1,667.14	$2,728.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $2,283.76	Professional		$1,667.14	$2,283.76	$2,283.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.28 / $1,636.93 / $2,082.76	Professional		$1,091.28	$1,636.93	$2,082.76