Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.01 / $2,153.01 / $5,833.00	Facility		$2,153.01	$2,153.01	$5,833.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,065.06 / $2,153.01 / $2,966.03	Professional		$2,065.06	$2,153.01	$2,966.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.39 / $4,850.30 / $12,566.68	Facility		$4,140.39	$4,850.30	$12,566.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,209.10 / $2,480.56 / $5,732.16	Professional		$2,209.10	$2,480.56	$5,732.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,264.98 / $4,409.35 / $5,952.64	Facility		$3,264.98	$4,409.35	$5,952.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,866.08 / $3,968.42 / $9,441.32	Professional		$2,866.08	$3,968.42	$9,441.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $5,049.42	Facility		$3,148.57	$3,148.57	$5,049.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,666.30	Professional		$2,298.46	$2,298.46	$3,666.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $3,148.57 / $3,148.57	Professional		$2,298.46	$3,148.57	$3,148.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.52 / $2,199.78 / $3,175.12	Professional		$1,466.52	$2,199.78	$3,175.12