Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.79 / $2,202.79 / $6,504.00	Facility		$2,202.79	$2,202.79	$6,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,202.79 / $2,847.79	Professional		$2,146.96	$2,202.79	$2,847.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,236.10 / $4,962.43 / $12,857.21	Facility		$4,236.10	$4,962.43	$12,857.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.17 / $2,530.96 / $5,864.69	Professional		$2,260.17	$2,530.96	$5,864.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,338.84 / $4,511.30 / $6,090.26	Facility		$3,338.84	$4,511.30	$6,090.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,932.35 / $4,060.17 / $9,659.60	Professional		$2,932.35	$4,060.17	$9,659.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $5,167.63	Facility		$2,741.63	$2,741.63	$5,167.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $3,143.94	Professional		$2,001.39	$2,001.39	$3,143.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $2,741.63	Professional		$2,001.39	$2,741.63	$2,741.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,500.43 / $2,250.64 / $3,239.62	Professional		$1,500.43	$2,250.64	$3,239.62