Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.26 / $1,761.26 / $4,508.00	Facility		$1,761.26	$1,761.26	$4,508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.00 / $1,761.26 / $2,488.87	Professional		$1,699.00	$1,761.26	$2,488.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,387.03 / $3,967.77 / $10,280.12	Facility		$3,387.03	$3,967.77	$10,280.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.79 / $1,934.04 / $4,689.17	Professional		$1,716.79	$1,934.04	$4,689.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.17 / $3,076.88 / $4,689.18	Facility		$1,303.17	$3,076.88	$4,689.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,226.42 / $2,912.66 / $5,825.32	Professional		$1,226.42	$2,912.66	$5,825.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $4,144.01	Facility		$2,861.13	$2,861.13	$4,144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,431.96 / $2,861.13	Professional		$2,431.96	$2,431.96	$2,861.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $2,861.13	Facility		$2,861.13	$2,861.13	$2,861.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,861.13 / $2,861.13	Professional		$2,431.96	$2,861.13	$2,861.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.68 / $1,799.52 / $2,475.06	Professional		$1,199.68	$1,799.52	$2,475.06