Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.94 / $1,978.94 / $5,027.00	Facility		$1,978.94	$1,978.94	$5,027.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.99 / $1,978.94 / $2,796.51	Professional		$1,908.99	$1,978.94	$2,796.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,805.64 / $4,458.16 / $11,550.68	Facility		$3,805.64	$4,458.16	$11,550.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,928.98 / $2,172.63 / $5,268.73	Professional		$1,928.98	$2,172.63	$5,268.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,464.22 / $3,457.16 / $5,268.73	Facility		$1,464.22	$3,457.16	$5,268.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.99 / $3,272.70 / $6,545.41	Professional		$1,377.99	$3,272.70	$6,545.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,656.14	Facility		$3,214.74	$3,214.74	$4,656.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,214.74	Professional		$2,732.53	$2,732.53	$3,214.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $3,214.74	Professional		$2,732.53	$3,214.74	$3,214.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.95 / $2,021.93 / $2,780.96	Professional		$1,347.95	$2,021.93	$2,780.96