Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $7,079.46	Facility		$2,754.23	$4,365.16	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,388.44	Professional		$1,737.80	$2,398.83	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $3,630.78	Professional		$794.33	$1,000.00	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $40,738.03 / $61,659.50	Facility		$2,691.53	$40,738.03	$61,659.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $45,708.82 / $81,283.05	Professional		$3,630.78	$45,708.82	$81,283.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $6,165.95	Facility		$1,905.46	$1,905.46	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $3,715.35	Professional		$2,344.23	$3,388.44	$3,715.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $12,022.64	Facility		$1,949.84	$3,019.95	$12,022.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $6,760.83	Professional		$2,454.71	$3,235.94	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $2,951.21	Facility		$1,047.13	$2,630.27	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,388.44	Professional		$1,230.27	$1,737.80	$3,388.44