Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $7,244.36	Facility		$2,818.38	$4,466.84	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $2,818.38	Professional		$1,513.56	$2,454.71	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,388.44 / $6,165.95	Professional		$100.00	$3,388.44	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $41,686.94 / $63,095.73	Facility		$2,818.38	$41,686.94	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $46,773.51 / $83,176.38	Professional		$3,715.35	$46,773.51	$83,176.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,309.57	Facility		$1,949.84	$1,949.84	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $3,801.89	Professional		$2,398.83	$3,467.37	$3,801.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $12,302.69	Facility		$1,995.26	$3,090.30	$12,302.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,918.31	Professional		$2,570.40	$3,311.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,691.53 / $3,019.95	Facility		$1,071.52	$2,691.53	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37