Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $4,310.46 / $7,663.04	Facility		$2,488.00	$4,310.46	$7,663.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.84 / $2,114.80 / $5,971.20	Professional		$1,691.84	$2,114.80	$5,971.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.98 / $358.80 / $1,826.19	Professional		$304.98	$358.80	$1,826.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,114.80 / $3,234.40 / $52,019.63	Facility		$2,114.80	$3,234.40	$52,019.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,600.98 / $5,439.96 / $68,849.49	Professional		$2,600.98	$5,439.96	$68,849.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $2,561.64 / $9,622.00	Facility		$1,617.20	$2,561.64	$9,622.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,617.20 / $2,859.20 / $3,761.01	Professional		$1,617.20	$2,859.20	$3,761.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $2,561.64 / $9,622.00	Facility		$1,617.20	$2,561.64	$9,622.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,617.20 / $1,617.20 / $1,617.20	Professional		$1,617.20	$1,617.20	$1,617.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $2,985.60	Professional		$1,044.96	$1,492.80	$2,985.60