Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $5,553.21 / $8,983.12	Facility		$2,916.60	$5,553.21	$8,983.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $4,434.39 / $7,291.50	Professional		$2,333.28	$4,434.39	$7,291.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $1,015.44 / $3,785.74	Professional		$719.32	$1,015.44	$3,785.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $8,531.06 / $68,248.44	Facility		$2,916.60	$8,531.06	$68,248.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,049.02 / $6,999.84 / $68,603.00	Professional		$3,049.02	$6,999.84	$68,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,602.92 / $3,002.93 / $16,645.04	Facility		$2,602.92	$3,002.93	$16,645.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $3,824.68 / $16,416.80	Professional		$2,333.28	$3,824.68	$16,416.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,602.92 / $3,002.93 / $16,889.41	Facility		$2,602.92	$3,002.93	$16,889.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $2,333.28 / $2,333.28	Professional		$2,333.28	$2,333.28	$2,333.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,749.96 / $4,249.49	Professional		$1,224.97	$1,749.96	$4,249.49