Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.70 / $1,296.70 / $3,528.00	Facility		$1,296.70	$1,296.70	$3,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.29 / $1,296.70 / $1,762.36	Professional		$1,254.29	$1,296.70	$1,762.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.48 / $1,425.38 / $3,505.43	Professional		$1,330.48	$1,425.38	$3,505.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,991.72 / $2,655.63 / $3,585.10	Facility		$1,991.72	$2,655.63	$3,585.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,763.93 / $2,442.37 / $5,686.23	Professional		$1,763.93	$2,442.37	$5,686.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $3,180.17	Facility		$1,482.94	$1,482.94	$3,180.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $2,205.87	Professional		$1,260.50	$1,260.50	$2,205.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $1,482.94	Professional		$1,260.50	$1,482.94	$1,482.94
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $1,324.86 / $1,824.48	Professional		$883.24	$1,324.86	$1,824.48