Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.15 / $1,143.15 / $2,556.00	Facility		$1,143.15	$1,143.15	$2,556.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.46 / $1,143.15 / $1,602.42	Professional		$906.46	$1,143.15	$1,602.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,575.28 / $6,672.31	Facility		$2,198.35	$2,575.28	$6,672.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.84 / $1,172.93 / $3,043.50	Professional		$1,088.84	$1,172.93	$3,043.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,607.37 / $2,341.16 / $3,160.57	Facility		$1,607.37	$2,341.16	$3,160.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,521.75 / $2,107.04 / $5,012.89	Professional		$1,521.75	$2,107.04	$5,012.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,511.52	Facility		$1,132.82	$1,132.82	$2,511.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,946.63	Professional		$826.96	$826.96	$1,946.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,132.82 / $1,132.82	Professional		$826.96	$1,132.82	$1,132.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $993.15 / $1,365.58 / $1,790.28	Professional		$993.15	$1,365.58	$1,790.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.71 / $1,167.98 / $1,492.07	Professional		$753.71	$1,167.98	$1,492.07