Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.37 / $1,461.37 / $3,785.00	Facility		$1,461.37	$1,461.37	$3,785.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.51 / $1,461.37 / $2,064.90	Professional		$1,409.51	$1,461.37	$2,064.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,810.32 / $3,292.18 / $8,529.74	Facility		$2,810.32	$3,292.18	$8,529.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,424.46 / $1,604.23 / $3,890.75	Professional		$1,424.46	$1,604.23	$3,890.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,081.13 / $2,552.71 / $3,890.76	Facility		$1,081.13	$2,552.71	$3,890.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,017.58 / $2,416.75 / $4,833.51	Professional		$1,017.58	$2,416.75	$4,833.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,438.11	Facility		$2,373.71	$2,373.71	$3,438.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,488.52	Professional		$2,017.65	$2,017.65	$2,488.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $2,373.71	Facility		$2,373.71	$2,373.71	$2,373.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,373.71 / $2,373.71	Professional		$2,017.65	$2,373.71	$2,373.71
United Facility/Professional Professional Modifier Low / Median / High Price $995.41 / $1,493.11 / $2,053.41	Professional		$995.41	$1,493.11	$2,053.41