Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.17 / $1,583.17 / $2,929.00	Facility		$1,583.17	$1,583.17	$2,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.18 / $1,583.17 / $2,237.17	Professional		$1,527.18	$1,583.17	$2,237.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,044.55 / $3,566.56 / $9,240.64	Facility		$3,044.55	$3,566.56	$9,240.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.19 / $1,738.10 / $4,215.02	Professional		$1,543.19	$1,738.10	$4,215.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,171.34 / $2,765.70 / $4,215.03	Facility		$1,171.34	$2,765.70	$4,215.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,102.41 / $2,618.17 / $5,236.34	Professional		$1,102.41	$2,618.17	$5,236.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,724.93	Facility		$1,808.29	$1,808.29	$3,724.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $2,695.94	Professional		$1,537.05	$1,537.05	$2,695.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $1,808.29	Professional		$1,537.05	$1,537.05	$1,808.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.38 / $1,617.56 / $2,224.76	Professional		$1,078.38	$1,617.56	$2,224.76