Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.42 / $2,216.42 / $5,590.00	Facility		$2,216.42	$2,216.42	$5,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.07 / $2,216.42 / $3,132.08	Professional		$2,138.07	$2,216.42	$3,132.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,262.34 / $4,993.14 / $12,936.81	Facility		$4,262.34	$4,993.14	$12,936.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,160.46 / $2,433.34 / $5,900.99	Professional		$2,160.46	$2,433.34	$5,900.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,639.92 / $3,872.07 / $5,901.00	Facility		$1,639.92	$3,872.07	$5,901.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,543.35 / $3,665.45 / $7,330.89	Professional		$1,543.35	$3,665.45	$7,330.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $5,214.89	Facility		$3,600.52	$3,600.52	$5,214.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,600.52	Professional		$3,060.44	$3,060.44	$3,600.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,600.52 / $3,600.52	Professional		$3,060.44	$3,600.52	$3,600.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.72 / $2,264.57 / $3,114.68	Professional		$1,509.72	$2,264.57	$3,114.68