Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $8,709.64	Facility		$3,388.44	$6,165.95	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,365.16	Professional		$2,137.96	$2,951.21	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $6,606.93	Facility		$3,311.31	$3,801.89	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $4,466.84	Professional		$758.58	$1,000.00	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $41,686.94 / $75,857.76	Facility		$3,311.31	$41,686.94	$75,857.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $56,234.13 / $100,000.00	Professional		$4,466.84	$56,234.13	$100,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $7,585.78	Facility		$2,344.23	$2,344.23	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $4,570.88	Professional		$2,818.38	$4,168.69	$4,570.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $20,892.96	Facility		$2,344.23	$4,570.88	$20,892.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
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 / $3,981.07 / $8,317.64	Professional		$3,090.30	$3,981.07	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $3,630.78	Facility		$1,288.25	$3,235.94	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,168.69	Professional		$1,513.56	$2,137.96	$4,168.69