Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $6,091.20 / $9,979.20	Facility		$2,592.00	$6,091.20	$9,979.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,268.00 / $2,592.00 / $2,656.80	Professional		$2,268.00	$2,592.00	$2,656.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $1,015.44 / $4,205.52	Professional		$719.32	$1,015.44	$4,205.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $9,477.00 / $75,816.00	Facility		$3,240.00	$9,477.00	$75,816.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,387.17 / $7,776.00 / $76,211.27	Professional		$3,387.17	$7,776.00	$76,211.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,891.54 / $3,335.90 / $18,490.68	Facility		$2,891.54	$3,335.90	$18,490.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $4,244.39 / $18,236.09	Professional		$2,592.00	$4,244.39	$18,236.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,891.54 / $3,335.90 / $18,762.16	Facility		$2,891.54	$3,335.90	$18,762.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $4,279.07	Professional		$1,360.80	$1,944.00	$4,279.07