Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.89 / $2,453.89 / $6,148.00	Facility		$2,453.89	$2,453.89	$6,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,367.13 / $2,453.89 / $3,467.66	Professional		$2,367.13	$2,453.89	$3,467.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,719.01 / $5,528.13 / $14,322.87	Facility		$4,719.01	$5,528.13	$14,322.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,391.94 / $2,694.05 / $6,533.24	Professional		$2,391.94	$2,694.05	$6,533.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,815.60 / $4,286.85 / $6,533.24	Facility		$1,815.60	$4,286.85	$6,533.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,708.68 / $4,058.12 / $8,116.24	Professional		$1,708.68	$4,058.12	$8,116.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,773.61	Facility		$2,802.84	$2,802.84	$5,773.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $3,357.95	Professional		$2,382.41	$2,382.41	$3,357.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $2,802.84	Professional		$2,382.41	$2,802.84	$2,802.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,671.46 / $2,507.19 / $3,448.38	Professional		$1,671.46	$2,507.19	$3,448.38