Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $6,661.56 / $11,928.80	Facility		$3,098.40	$6,661.56	$11,928.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $3,679.35	Professional		$2,711.10	$3,098.40	$3,679.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,419.86 / $4,182.84 / $6,854.05	Facility		$3,419.86	$4,182.84	$6,854.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.20 / $4,279.66 / $7,980.31	Professional		$573.20	$4,279.66	$7,980.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $11,328.53 / $90,628.20	Facility		$3,873.00	$11,328.53	$90,628.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,048.56 / $9,295.20 / $91,092.68	Professional		$4,048.56	$9,295.20	$91,092.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,985.12 / $4,405.54 / $22,103.21	Facility		$3,985.12	$4,405.54	$22,103.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $5,073.63 / $19,945.36	Professional		$2,265.71	$5,073.63	$19,945.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,985.12 / $4,405.54 / $22,103.21	Facility		$3,985.12	$4,405.54	$22,103.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $2,265.71 / $2,265.71	Professional		$2,265.71	$2,265.71	$2,265.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,049.98 / $3,485.70 / $4,792.83	Professional		$3,049.98	$3,485.70	$4,792.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,115.07	Professional		$1,626.66	$2,323.80	$5,115.07