Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $7,762.47	Facility		$3,090.30	$4,786.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,715.35	Professional		$1,949.84	$2,630.27	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $4,073.80	Professional		$794.33	$1,000.00	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $41,686.94 / $67,608.30	Facility		$3,019.95	$41,686.94	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $51,286.14 / $89,125.09	Professional		$3,981.07	$51,286.14	$89,125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,760.83	Facility		$2,089.30	$2,089.30	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $4,168.69	Professional		$2,570.40	$3,801.89	$4,168.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $13,182.57	Facility		$2,187.76	$3,311.31	$13,182.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $7,585.78	Professional		$2,754.23	$3,548.13	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $3,235.94	Facility		$1,174.90	$2,884.03	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,715.35	Professional		$1,348.96	$1,949.84	$3,715.35