Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $8,912.51	Facility		$3,715.35	$5,495.41	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,715.35	Professional		$2,187.76	$2,951.21	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $3,630.78 / $7,585.78	Professional		$12.30	$3,630.78	$7,585.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $41,686.94 / $77,624.71	Facility		$3,388.44	$41,686.94	$77,624.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $57,543.99 / $102,329.30	Professional		$4,570.88	$57,543.99	$102,329.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $7,762.47	Facility		$2,398.83	$2,398.83	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $4,677.35	Professional		$2,951.21	$4,265.80	$4,677.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $21,379.62	Facility		$2,398.83	$4,677.35	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $8,511.38	Professional		$3,090.30	$4,073.80	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $3,715.35	Facility		$1,318.26	$3,311.31	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,265.80	Professional		$1,548.82	$2,187.76	$4,265.80