Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.55 / $2,159.55 / $4,144.00	Facility		$2,159.55	$2,159.55	$4,144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.82 / $2,159.55 / $2,974.18	Professional		$2,104.82	$2,159.55	$2,974.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,152.96 / $4,865.03 / $12,604.84	Facility		$4,152.96	$4,865.03	$12,604.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.57 / $2,405.25 / $5,749.57	Professional		$2,157.57	$2,405.25	$5,749.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,759.34 / $3,759.34 / $3,759.34	Professional		$3,759.34	$3,759.34	$3,759.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,317.06 / $4,422.75 / $5,970.71	Facility		$3,317.06	$4,422.75	$5,970.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,890.37 / $4,002.06 / $9,469.99	Professional		$2,890.37	$4,002.06	$9,469.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $5,211.01	Facility		$3,060.59	$3,060.59	$5,211.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $3,677.44	Professional		$2,234.23	$2,234.23	$3,677.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $3,060.59 / $3,060.59	Professional		$2,234.23	$3,060.59	$3,060.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,063.88 / $2,837.84 / $3,720.41	Professional		$2,063.88	$2,837.84	$3,720.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.98 / $2,206.46 / $3,037.41	Professional		$1,470.98	$2,206.46	$3,037.41