Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.56 / $1,921.56 / $7,659.00	Facility		$1,921.56	$1,921.56	$7,659.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.17 / $1,921.56 / $2,247.44	Professional		$1,482.17	$1,921.56	$2,247.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,695.29 / $4,328.89 / $11,215.75	Facility		$3,695.29	$4,328.89	$11,215.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.69 / $1,873.05 / $5,115.95	Professional		$1,772.69	$1,873.05	$5,115.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,306.54 / $3,010.20 / $5,115.96	Facility		$1,306.54	$3,010.20	$5,115.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,197.03 / $2,990.86 / $6,355.59	Professional		$1,197.03	$2,990.86	$6,355.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,767.83	Facility		$2,253.75	$2,253.75	$3,767.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,629.50	Professional		$1,915.69	$1,915.69	$2,629.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $2,253.75	Professional		$1,915.69	$2,253.75	$2,253.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $1,963.30 / $2,498.03	Professional		$1,227.07	$1,963.30	$2,498.03