Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.93 / $1,792.93 / $3,433.00	Facility		$1,792.93	$1,792.93	$3,433.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.85 / $1,792.93 / $2,346.77	Professional		$1,691.85	$1,792.93	$2,346.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,447.92 / $4,039.10 / $10,464.94	Facility		$3,447.92	$4,039.10	$10,464.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,839.65 / $2,060.40 / $4,773.47	Professional		$1,839.65	$2,060.40	$4,773.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,618.67 / $3,671.91 / $4,957.08	Facility		$2,618.67	$3,671.91	$4,957.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,386.73 / $3,304.72 / $7,862.29	Professional		$2,386.73	$3,304.72	$7,862.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $4,137.43	Facility		$2,375.33	$2,375.33	$4,137.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $3,034.48	Professional		$1,733.99	$1,733.99	$3,034.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,375.32 / $2,375.33	Professional		$1,733.99	$2,375.32	$2,375.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,834.85 / $3,834.85 / $4,511.59	Facility		$3,834.85	$3,834.85	$4,511.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.25 / $1,831.87 / $2,601.29	Professional		$1,221.25	$1,831.87	$2,601.29