Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.39 / $1,131.39 / $2,032.00	Facility		$1,131.39	$1,131.39	$2,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.11 / $1,131.39 / $1,327.10	Professional		$881.11	$1,131.39	$1,327.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.75 / $2,548.80 / $6,603.71	Facility		$2,175.75	$2,548.80	$6,603.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.39 / $1,160.86 / $3,012.21	Professional		$1,058.39	$1,160.86	$3,012.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,598.24 / $2,317.09 / $3,128.07	Facility		$1,598.24	$2,317.09	$3,128.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,506.11 / $2,085.38 / $4,961.35	Professional		$1,506.11	$2,085.38	$4,961.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,497.25	Facility		$1,498.90	$1,498.90	$2,497.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,548.22	Professional		$1,094.20	$1,094.20	$1,548.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $1,498.90	Professional		$1,094.20	$1,498.90	$1,498.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $982.94 / $1,351.54 / $1,771.87	Professional		$982.94	$1,351.54	$1,771.87
United Facility/Professional Professional Modifier Low / Median / High Price $732.62 / $1,155.97 / $1,679.24	Professional		$732.62	$1,155.97	$1,679.24