Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,824.00 / $8,221.60 / $14,722.40	Facility		$3,824.00	$8,221.60	$14,722.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $3,824.00 / $3,919.60	Professional		$3,346.00	$3,824.00	$3,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,220.74 / $5,162.39 / $8,459.17	Facility		$4,220.74	$5,162.39	$8,459.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $2,176.00 / $6,214.00	Professional		$1,600.00	$2,176.00	$6,214.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $13,981.50 / $111,852.00	Facility		$4,780.00	$13,981.50	$111,852.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,996.72 / $11,472.00 / $112,426.20	Professional		$4,996.72	$11,472.00	$112,426.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,437.25 / $10,066.68 / $32,226.11	Facility		$5,437.25	$10,066.68	$32,226.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $6,261.80 / $24,616.24	Professional		$3,824.00	$6,261.80	$24,616.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,437.25 / $10,066.68 / $32,226.11	Facility		$5,437.25	$10,066.68	$32,226.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $3,824.00 / $3,824.00	Professional		$3,824.00	$3,824.00	$3,824.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $6,312.95	Professional		$2,007.60	$2,868.00	$6,312.95