Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $6,054.40 / $10,841.60	Facility		$3,520.00	$6,054.40	$10,841.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $5,322.24 / $10,841.60	Professional		$3,520.00	$5,322.24	$10,841.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.16 / $3,872.00 / $6,229.34	Facility		$3,108.16	$3,872.00	$6,229.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $85.09 / $3,520.00	Professional		$56.50	$85.09	$3,520.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,640.00 / $4,576.00 / $72,150.08	Facility		$2,640.00	$4,576.00	$72,150.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,679.65 / $7,696.01 / $97,402.61	Professional		$3,679.65	$7,696.01	$97,402.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $3,624.19 / $13,613.85	Facility		$2,288.00	$3,624.19	$13,613.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.00 / $4,044.92 / $5,056.14	Professional		$2,288.00	$4,044.92	$5,056.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $3,624.19 / $13,613.85	Facility		$2,288.00	$3,624.19	$13,613.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,288.00 / $2,288.00 / $2,288.00	Professional		$2,288.00	$2,288.00	$2,288.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $1,936.00 / $1,936.00	Professional		$1,936.00	$1,936.00	$1,936.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $4,224.00	Professional		$1,478.40	$2,112.00	$4,224.00